MICHELLE CHERIE WIENEKE (NPI# 1740426972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740426972 |
| Entity Type | Individual |
| Full Name | MICHELLE CHERIE WIENEKE |
| Credential | ANP |
| Practice Address |
805 W Centerton Blvd Centerton AR 72719-9705 |
| Mailing Address |
301 Sw 16th St Bentonville AR 72712-7173 |
| Practice Telephone | 4797951301 |
| Practice Fax Number | 4797951304 |
| Mailing Telephone | 4792732228 |
| Mailing Fax Number | 4792733338 |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2014-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | A03213 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | ATP000182 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 177309758 | 05 |
| Street Address |
805 W CENTERTON BLVD |
| City | CENTERTON |
| State | AR |
| Zip Code | 72719-9705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255398400 | Lance A Faddis | Internal Medicine | 805 W Centerton Blvd, Centerton, AR 72719-9705 | 2006-04-28 |
| 1780980847 | Celeste Sarene Williams | Nurse Practitioner | 805 W Centerton Blvd, Centerton, AR 72719-9705 | 2011-02-07 |
| 1366776429 | Sarah J Brinkley | Clinical Nurse Specialist | 805 W Centerton Blvd, Centerton, AR 72719-9705 | 2009-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669086724 | Epic Smiles Pllc | Dentist | 310 E Centerton Blvd, Centerton, AR 72719 | 2020-09-04 |
| 1134733876 | Bradley R Crossfield Dds Pllc | Clinic/Center | 880 East Centerton Blvd, Suite A, Centerton, AR 72719 | 2020-09-01 |
| 1861967291 | Apexnetwork Arkansas, LLC | Physical Therapist | 1128 E. Centerton Blvd, Centerton, AR 72719 | 2018-10-12 |
| 1568975761 | Reeves Medical Associates, Pllc | Internal Medicine | 1415 E Centerton Blvd, Centerton, AR 72719 | 2017-11-09 |
| 1164948246 | Jodie A Bone | Behavioral Analyst | 450 Walker Street, Centerton, AR 72719 | 2017-08-21 |
| 1225581606 | Andrew Jason Phipps | Dentist | 807 West Centerton Blvd, Centerton, AR 72719 | 2016-08-02 |
| 1922429158 | Chelsea Kinney | Speech-Language Pathologist | 427 Centerton Blvd, Centerton, AR 72719 | 2013-12-13 |
| 1467707166 | Stacey Kirk | Case Manager/Care Coordinator | 250 East Centerton Blvd., Centerton, AR 72719 | 2012-07-18 |
| 1295994457 | Tracie Leanne Downey | Occupational Therapist | 675 Brimwood Street, Centerton, AR 72719 | 2008-06-03 |
| 1124228382 | Carolyn R Reeves | Internal Medicine | 1415 E Centeron Blvd, Centeron, AR 72719 | 2007-07-24 |
| Find all providers in zip 72719 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574555 | Brian Scott Burks | Nurse Practitioner | 4109 Hartford Hills Dr, Benton, AR 72019-2540 | 2020-10-05 |
| 1619574662 | Lindsey Paige Long | Nurse Practitioner | 3123 N Magnolia St, North Little Rock, AR 72116-9153 | 2020-10-02 |
| 1275151524 | Patricia Waller | Nurse Practitioner | 905 Long Branch Rd, Heber Springs, AR 72543-8305 | 2020-07-13 |
| 1659997351 | Amanda Cheatham | Nurse Practitioner | 16832 Prince Rd, Canehill, AR 72717-9415 | 2020-06-18 |
| 1073137212 | Lakeisha Shatara Falls | Nurse Practitioner | 11602 Shady Ridge Dr, Little Rock, AR 72211-4595 | 2020-06-03 |
| 1518581115 | Ragan Arrison | Nurse Practitioner | 365 Mapleleaf Cir, Hot Springs, AR 71901-3371 | 2020-05-31 |
| 1639799240 | Jessica Lee Crump | Nurse Practitioner | 1996 Highway 31 N, Beebe, AR 72012-9784 | 2020-04-23 |
| 1477183176 | Jennifer Leann Jay | Nurse Practitioner | 1501 S Waldron Rd Ste 200, Fort Smith, AR 72903-2565 | 2020-01-22 |
| 1164069969 | Morgan Wilkerson | Nurse Practitioner | 41 Weaver Cir, Vilonia, AR 72173-9014 | 2019-11-30 |
| 1881256220 | Felica Shunta Johnson | Nurse Practitioner | 311 Carson St, Bono, AR 72416-9605 | 2019-07-06 |
| Find all providers with the same taxonomy | ||||
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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.