MS. LORRAINE IRENE DEVRIES (NPI# 1760992911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760992911 |
Entity Type | Individual |
Full Name | MS. LORRAINE IRENE DEVRIES |
Credential | RN |
Practice Address |
1316 Industrial Acess Drive Trumann AR 72472 |
Mailing Address |
1316 Industrial Park Dr Trumann AR 72472-9702 |
Practice Telephone | 8704836621 |
Practice Fax Number | 8724831522 |
Mailing Telephone | 8704836621 |
Mailing Fax Number | 8724831522 |
Enumeration Date | 2017-10-02 |
Last Update Date | 2017-10-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
311 | AR | Nursing Service Related Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 131343732 | 05 |
Street Address |
1316 INDUSTRIAL ACESS DRIVE |
City | TRUMANN |
State | AR |
Zip Code | 72472 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063039980 | First Step Arkansas, LLC | Occupational Therapist | 528 Industrial Park Access Rd, Trumann, AR 72472 | 2020-06-26 |
1982254710 | Brent A Davis | Physical Therapist | 516 Industrial Park Access Rd, Trumann, AR 72472 | 2019-09-13 |
1902326226 | Logan Michael Schmidt | Dentist | 1711 Hwy 69 Blvd, Trumann, AR 72472 | 2017-06-27 |
1619228830 | Daniel Edward Ward | Case Manager/Care Coordinator | 1704 Hwy, 69, Trumann, AR 72472 | 2012-09-27 |
1003197542 | Mashae D. Rolland | Nurse Practitioner | 808 Highway 463 N, Trumann, AR 72472 | 2011-08-29 |
1982984118 | Denise Jackson | Case Manager/Care Coordinator | 1704 Highway 69, Trumann, AR 72472 | 2011-08-19 |
1134410467 | Dalisha Lareece Smith | Clinical Ethicist | 1704 Hwy. 69, Trumann, AR 72472 | 2011-04-20 |
1164727202 | Margaret Ann Peters | Case Manager/Care Coordinator | 809 West Main Suite C, Trumann, AR 72472 | 2011-01-21 |
1134379357 | Jeremiah Daniel Dillehay | Counselor | 170 4 Hwy. 69, Trumann, AR 72472 | 2008-09-24 |
1407066939 | Pamela S Tiner | Pharmacist | Wal-mart Pharmacy Hwy 463 N, Trumann, AR 72472 | 2007-05-23 |
Find all providers in zip 72472 |
Taxonomy Code | 3747P1801X |
Grouping | Nursing Service Related Providers |
Classification | Technician |
Specialization | Personal Care Attendant |
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
Notes: [7/1/2003: definition added] |
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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.