MARY SOUVANNA (NPI# 1750670485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750670485 |
| Entity Type | Individual |
| Full Name | MARY SOUVANNA |
| Practice Address |
3214 Winchester Benton AR 72015-2929 |
| Practice Telephone | 5013266160 |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2011-04-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
3214 WINCHESTER |
| City | BENTON |
| State | AR |
| Zip Code | 72015-2929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790815041 | Julie M Christian | Speech-Language Pathologist | 3214 Winchester, Benton, AR 72015-2929 | 2007-03-06 |
| 1184222093 | Alix T Dyer | Occupational Therapist | 3214 Winchester, Benton, AR 72015-2929 | 2020-10-13 |
| 1770137275 | Jlm Ventures, Inc. | Clinic/Center | 3214 Winchester, Benton, AR 72015-2929 | 2019-08-01 |
| 1457905580 | Jlm Ventures, Inc. | Clinic/Center | 3214 Winchester, Benton, AR 72015-2929 | 2019-07-26 |
| 1245884378 | Jlm Ventures, Inc. | Occupational Therapist | 3214 Winchester, Benton, AR 72015-2929 | 2019-07-26 |
| 1831606235 | Dominique D Humphrey | Case Manager/Care Coordinator | 3214 Winchester, Benton, AR 72015-2929 | 2018-01-08 |
| 1386154334 | Sara N Knauf | Case Manager/Care Coordinator | 3214 Winchester, Benton, AR 72015-2929 | 2017-10-04 |
| 1114443280 | Victoria M Jones | Case Manager/Care Coordinator | 3214 Winchester, Benton, AR 72015-2929 | 2017-08-20 |
| 1396268702 | Crystal Kidd | Case Manager/Care Coordinator | 3214 Winchester, Benton, AR 72015-2929 | 2017-07-18 |
| 1962932293 | Sharon M Cooley | Case Manager/Care Coordinator | 3214 Winchester, Benton, AR 72015-2929 | 2017-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| Find all providers in zip 72015 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548579006 | Ryan Hughes | Technician, Other | 1718 Hot Springs Hwy, Benton, AR 72019-2116 | 2010-10-01 |
| 1295890226 | Lisa M Coulter | Technician, Other | 2101 Congo, Suite 900, Benton, AR 72015-2750 | 2006-12-27 |
| 1215220025 | Ronnie Easley | Technician, Other | 3214 Winchester, Benton, AR 72015-2929 | 2011-05-26 |
| 1275825937 | Daffiny Gray | Technician, Other | 3214 Winchester, Benton, AR 72015-2929 | 2011-05-12 |
| 1417189614 | Necole Camile Hall | Technician, Other | 1718 Old Hot Springs Hwy, Benton, AR 72015-8909 | 2009-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316417751 | Merritt Ventures, LLC, Dba: Lice Clinics of America - Little Rock | Technician, Other | 1011 N 2nd St Ste D, Cabot, AR 72023-2751 | 2018-11-28 |
| 1740784875 | Nits End, LLC | Technician, Other | 3 Mckissic Creek Rd, Bentonville, AR 72712-8901 | 2018-03-22 |
| 1063966034 | Cindy Buck | Technician, Other | 911 W 6th St, Rector, AR 72461-2013 | 2016-08-08 |
| 1851797955 | Elizabeth Whitley | Technician, Other | 2227 W Main St Ste 3, Jacksonville, AR 72076-4251 | 2014-11-17 |
| 1013042183 | Heather Kay Nicole Cowdery | Technician, Other | 901 Parker St, North Little Rock, AR 72114-4546 | 2007-02-22 |
| 1609929132 | Karter Neuro Diagnostics | Technician, Other | 808 E Promise Land Rd, Blytheville, AR 72315-7713 | 2007-01-19 |
| 1003986118 | Doctors Hearing Center LLC II | Technician, Other | 2227 West Main St, Jacksonville, AR 72076 | 2006-11-08 |
| 1285687152 | Nwa Health & Rehab Center | Technician, Other | 3906 Kelley Ave, Springdale, AR 72762-4936 | 2006-05-19 |
| 1235695487 | Kimberly Morgan | Technician, Other | 1012b E 22nd St, Stuttgart, AR 72160-6825 | 2019-02-13 |
| 1952838146 | Kadijah Bernice Richardson | Technician, Other | 2227 W Main St Ste 3, Jacksonville, AR 72076-4251 | 2017-05-18 |
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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.