KELLEY MARIE JIMENEZ (NPI# 1710439989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710439989 |
| Entity Type | Individual |
| Full Name | KELLEY MARIE JIMENEZ |
| Practice Address |
1008 Highway 25b Heber Springs AR 72543-2034 |
| Mailing Address |
25 Pleasant St Cabot AR 72023-3105 |
| Practice Telephone | 5012505166 |
| Mailing Telephone | 9568328004 |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2016-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
R#17-003 | AR | Speech, Language and Hearing Service Providers |
| Street Address |
1008 HIGHWAY 25B |
| City | HEBER SPRINGS |
| State | AR |
| Zip Code | 72543-2034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447313325 | Melinda Louise Dorsey | Occupational Therapist | 1008 Highway 25b, Heber Springs, AR 72543-2034 | 2006-12-19 |
| 1194200691 | Courtney Gatlin | Specialist/Technologist | 1008 Highway 25b, Heber Springs, AR 72543-2034 | 2018-10-01 |
| 1841777877 | Emily C Brown | Occupational Therapy Assistant | 1008 Highway 25b, Heber Springs, AR 72543-2034 | 2018-07-23 |
| 1922557057 | Talitha Reed | Occupational Therapist | 1008 Highway 25b, Heber Springs, AR 72543-2034 | 2016-09-30 |
| 1861844052 | Karly Wilcox | Occupational Therapist | 1008 Highway 25b, Heber Springs, AR 72543-2034 | 2016-07-12 |
| 1831575810 | Jessica Bierma | Occupational Therapy Assistant | 1008 Highway 25b, Heber Springs, AR 72543-2034 | 2015-08-03 |
| 1689911489 | Sense-able Kidz Therapy Services LLC | Occupational Therapist | 1008 Highway 25b, Heber Springs, AR 72543-2034 | 2013-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871122457 | Tracy Elizabeth Carroll | Nurse Practitioner | 1004 Trailwood Dr, Heber Springs, AR 72543 | 2020-04-06 |
| 1972099224 | Billie Ann Gay | Registered Nurse | Baptist Health 1800 Bypass Rd, Heber Springs, AR 72543 | 2018-07-10 |
| 1538558697 | Pine Snag Lobo Fire Association | Ambulance | 1855 Pangburn Rd, Heber Springs, AR 72543 | 2015-01-13 |
| 1447656129 | W.p. Malone, Inc. | Pharmacy | 600 W. Main Street, Heber Springs, AR 72543 | 2014-11-07 |
| 1134524630 | Christa Chambers | Pharmacist | 600 W Main Street, Heber Springs, AR 72543 | 2014-10-27 |
| 1831504729 | Josh Redinger | Pharmacist | 1500 Hwy 25b N, Heber Springs, AR 72543 | 2014-06-30 |
| 1376981381 | Karen Ann Krug | Speech-Language Pathologist | 110 Case Ford Rd. Suite A, Heber Springs, AR 72543 | 2013-06-12 |
| 1063701357 | Hugh Stone Lewing | Internal Medicine | 906 Rock Ledge Road, Heber Springs, AR 72543 | 2011-04-07 |
| 1174835995 | Linda Storm | Counselor | 408 South 7th Street, Heber Springs, AR 72543 | 2010-07-09 |
| 1922327485 | Henry C. Wallace | Orthopaedic Surgery | 301 Southridge Blvd Ste A, Heber Springs, AR 72543 | 2010-05-24 |
| Find all providers in zip 72543 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194200691 | Courtney Gatlin | Specialist/Technologist | 1008 Highway 25b, Heber Springs, AR 72543-2034 | 2018-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316557143 | Christie Abella | Specialist/Technologist | 2006 Goodfellow Road, Star City, AR 71667 | 2020-08-06 |
| 1205475639 | Kayla Marie Riddle | Specialist/Technologist | 2700 N Prickett Rd Ste 2b, Bryant, AR 72022-7511 | 2020-01-02 |
| 1417590993 | Skylar Baker | Specialist/Technologist | 212 Scoby Dr, Warren, AR 71671-2050 | 2019-10-28 |
| 1669025045 | Alexis Davis | Specialist/Technologist | 185 Cornerstone Blvd, Hot Springs, AR 71913-6500 | 2019-07-24 |
| 1730646753 | Abigail Kathryn Arterbury | Specialist/Technologist | 3010 Highway 22 E Ste A, Branch, AR 72928-9648 | 2019-02-26 |
| 1568939700 | Rachel Ann Clayton | Specialist/Technologist | 735 Robin St, Camden, AR 71701-6834 | 2018-10-25 |
| 1285112888 | Briana Lanay Hatcher | Specialist/Technologist | 801 Deadrick Rd., Forrest City, AR 72335 | 2018-08-06 |
| 1336636000 | Ashley Napurano | Specialist/Technologist | 9505 Chad Colley Blvd Apt 3407, Fort Smith, AR 72916-5821 | 2018-04-18 |
| 1285146142 | Shelby Michelle Petersen | Specialist/Technologist | 10310 W Markham St Ste 205, Little Rock, AR 72205-1579 | 2017-11-01 |
| 1578087763 | Shane Worthington | Specialist/Technologist | 712 Calvin Avery Dr Ste C, West Memphis, AR 72301-6515 | 2017-07-28 |
| Find all providers with the same taxonomy | ||||
| City | HEBER SPRINGS |
| Zip Code | 72543 |
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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.