KATHRYN E BRANNAN (NPI# 1720364334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720364334 |
| Entity Type | Individual |
| Full Name | KATHRYN E BRANNAN |
| Credential | FNP |
| Practice Address |
4077 Jefferson Ave Texarkana AR 71854 |
| Mailing Address |
4077 Jefferson Ave Texarkana AR 71854-1509 |
| Practice Telephone | 9036145270 |
| Practice Fax Number | 9036145279 |
| Mailing Telephone | 9036145270 |
| Mailing Fax Number | 9036145279 |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2018-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A03616 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 302 E 20th St, Hope, AR 718018217 | 8707778975 |
| Street Address |
4077 JEFFERSON AVE |
| City | TEXARKANA |
| State | AR |
| Zip Code | 71854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487617031 | Kevin Earl Kramer | Pediatrics | 4077 Jefferson Ave, Texarkana, AR 71854-1509 | 2006-04-06 |
| 1548745383 | East Texas Border Health Clinic | Counselor | 4077 Jefferson Ave, Texarkana, AR 71854-1509 | 2018-09-27 |
| 1104316819 | Porscha Nicole Branch | Nurse Practitioner | 4077 Jefferson Ave, Texarkana, AR 71854-1509 | 2018-05-17 |
| 1578066452 | Rebecca Ann Liles | Social Worker | 4077 Jefferson Ave, Texarkana, AR 71854-1509 | 2018-03-16 |
| 1720516719 | Amanda Michelle Ferrer | Family Medicine | 4077 Jefferson Ave, Texarkana, AR 71854-1509 | 2017-06-02 |
| 1275769903 | Tammy Crawford | Counselor | 4077 Jefferson Ave, Texarkana, AR 71854 | 2009-06-09 |
| 1932262995 | Angela Linda Graves | Nurse Practitioner | 4077 Jefferson Ave, Texarkana, AR 71854-1509 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962988253 | Holly Renee Snipe | Registered Nurse | 4700 Sunbury Dr, Texarkana, AR 71854 | 2018-07-19 |
| 1023500634 | Carlotta A Powell | Counselor | 7000 N Stateline Ave, Texarkana, AR 71854 | 2018-05-31 |
| 1326538810 | Chad Roldan | Occupational Therapy Assistant | 6402 Countryside Dr, Texarkana, AR 71854 | 2018-05-10 |
| 1649797481 | Alliance Counseling Agency LLC | Community/Behavioral Health | 819 Beech St, Texarkana, AR 71854 | 2017-08-23 |
| 1366971467 | Kimberly Dian Cox | Case Manager/Care Coordinator | 7000 North Stateline Ave, Texarkana, AR 71854 | 2017-06-12 |
| 1295260040 | Seniors for Senior Care | Adult Companion | 4613 Parkway Dr., Texarkana, AR 71854 | 2017-04-28 |
| 1033650635 | Texarkana Eye Associates | Optometrist | 114 East 49th St, Texarkana, AR 71854 | 2017-03-15 |
| 1881064731 | Texarkana Group, P.l.l.c | Chiropractor | 2100 N. State Line Ave., Texarkana, AR 71854 | 2015-10-05 |
| 1528301819 | Megan Guercio | Specialist/Technologist | 1002 East 35th Street, Texarkana, AR 71854 | 2013-04-04 |
| 1831439116 | James Wesley Mcraven | Nurse Practitioner | 210 N. Stateline, Suite 301, Texarkana, AR 71854 | 2013-02-22 |
| Find all providers in zip 71854 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870892 | Melissa Michelle Wilson | Nurse Practitioner | 2602 Saint Michael Dr Ste 302a, Texarkana, TX 75503-2387 | 2020-08-02 |
| 1558919365 | Angela Michelle Savell | Nurse Practitioner | 4192 Satterfield Ln, Texarkana, AR 71854-0552 | 2019-08-27 |
| 1770041691 | Genova L Hansen | Nurse Practitioner | 95 Dyke Thomas Rd, Texarkana, TX 75501-2104 | 2019-03-10 |
| 1366935066 | Samantha Lee Harris | Nurse Practitioner | 4116 Mcknight Rd, Texarkana, TX 75503 | 2018-06-07 |
| 1730678483 | Julie Sloan Henderson | Nurse Practitioner | 876 Cummings Ln, Texarkana, TX 75501-2194 | 2018-05-08 |
| 1083116198 | Amanda Michelle Ross | Nurse Practitioner | 3725 Mall Ln, Texarkana, TX 75501-2658 | 2018-03-05 |
| 1861900904 | Tiffany Anne Baugus | Nurse Practitioner | 2600 St. Michael Drive, Texarkana, TX 75501 | 2018-01-10 |
| 1326555616 | Mandilyn Kay Cottingham | Nurse Practitioner | 391 Private Road 1223, Texarkana, AR 71854-1459 | 2018-01-08 |
| 1811416910 | Heather Alison Gerber | Nurse Practitioner | 5903 Brenda Street, Texarkana, TX 75503 | 2017-09-11 |
| 1003331356 | Virginia Ann Parker | Nurse Practitioner | 1004 Ele St, Texarkana, TX 75501-3018 | 2017-08-08 |
| Find all providers in TEXARKANA | ||||
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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.