SHARA SUSANNAH VINCENT (NPI# 1699388751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699388751 |
Entity Type | Individual |
Full Name | SHARA SUSANNAH VINCENT |
Credential | INFRARED SPECIALIST |
Practice Address |
27 Choctaw Trce Cherokee Village AR 72529-2702 |
Practice Telephone | 8707107576 |
Practice Fax Number | 8707107576 |
Mailing Telephone | 8707107576 |
Enumeration Date | 2020-08-28 |
Last Update Date | 2020-11-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246Z00000X | Specialist/Technologist, Other | AR | Technologists, Technicians & Other Technical Service Providers |
Street Address |
27 CHOCTAW TRCE |
City | CHEROKEE VILLAGE |
State | AR |
Zip Code | 72529-2702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861032963 | David Gregory | Physical Therapy Assistant | Therapy Works, Inc., 31 Choctaw Center, Cherokee Village, AR 72529 | 2020-01-07 |
1578970315 | Jennifer Lindsey Jones | Specialist/Technologist | 1 Hictochee Trace, Cherokee Village, AR 72529 | 2014-07-14 |
1619301512 | Cindy Cox | Case Manager/Care Coordinator | 4 E Village Mall, Cherokee Village, AR 72529 | 2013-08-27 |
1659616498 | Shannon M Harris | Case Manager/Care Coordinator | 4 East Village Mall, Cherokee Village, AR 72529 | 2012-12-05 |
1295030815 | Urban Medical Clinic | General Practice | 1 West Cherokee Village Mall #12, Cherokee Village, AR 72529 | 2011-01-12 |
1225331333 | Shyronn Dee Crider | Case Manager/Care Coordinator | 4 E. Cherokee Village Mall, Cherokee Village, AR 72529 | 2010-12-10 |
1588894299 | Samantha Sandridge | Case Manager/Care Coordinator | 4 Cherokee Village Mall, E, Cherokee Village, AR 72529 | 2009-07-16 |
1295977726 | Andrea Michelle Goodwin | Counselor | 4 E. Village Mall, Cherokee Village, AR 72529 | 2009-03-30 |
1245484617 | David Brittingham | Case Manager/Care Coordinator | 4 E Cherokee Village Mall, Cherokee Village, AR 72529 | 2008-11-11 |
1164687687 | Nicole Skidmore | Case Manager/Care Coordinator | #4 E. Cherokee Village Mall, Cherokee Village, AR 72529 | 2008-07-24 |
Find all providers in zip 72529 |
Taxonomy Code | 246Z00000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Specialist/Technologist, Other |
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295281590 | Faith Nichole Duncan | Specialist/Technologist, Other | 2105 Aggie Rd, Jonesboro, AR 72401 | 2016-08-28 |
1023346525 | Thomas J. Johnson | Specialist/Technologist, Other | 1311 Strozier Ct, Barling, AR 72923-2035 | 2009-11-23 |
1720129778 | Functional Testing Centers, Inc. | Specialist/Technologist, Other | 3120 S Hazel St, Suite B, Pine Bluff, AR 71603-5740 | 2007-02-11 |
1295195758 | Rebecca Riemer | Specialist/Technologist, Other | 2227 West Main Street, Suite 3, Jacksonville, AR 72076 | 2016-02-26 |
1881090983 | Jessie Battles | Specialist/Technologist, Other | 2227 W Main St Ste 3, Jacksonville, AR 72076-4251 | 2014-11-17 |
1295131399 | Misty Angelique Roetzel | Specialist/Technologist, Other | 2227 W Main St, Suite 3, Jacksonville, AR 72076-4207 | 2014-11-17 |
1407188998 | Melissa Kaye Mabe | Specialist/Technologist, Other | 1005 Balcom Ln, Trumann, AR 72472-9502 | 2010-02-08 |
1396972550 | Danielle Woffard | Specialist/Technologist, Other | 2040 Fitzhugh St, Batesville, AR 72501-7409 | 2009-06-16 |
1790812527 | Theonita Diane Rodgers | Specialist/Technologist, Other | 6501 W 12th St, Little Rock, AR 72204-1511 | 2007-02-28 |
1801924147 | North Arkanas Electric Cooperative Inc | Specialist/Technologist, Other | 225 Main St, Salem, AR 72576-1000 | 2007-02-28 |
Find all providers with the same taxonomy |
City | CHEROKEE VILLAGE |
Zip Code | 72529 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.