JON ROBERT SEBOURN SR. (NPI# 1780019570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780019570 |
| Entity Type | Individual |
| Full Name | JON ROBERT SEBOURN SR. |
| Practice Address |
25 Gap Rd Batesville AR 72501-8679 |
| Mailing Address |
3204 E Moore Ave Searcy AR 72143-4826 |
| Practice Telephone | 8707938900 |
| Practice Fax Number | 8707938959 |
| Mailing Telephone | 5012687777 |
| Mailing Fax Number | 5013055009 |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2013-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | L51261 | AR | Other Service Providers |
| Street Address |
25 GAP RD |
| City | BATESVILLE |
| State | AR |
| Zip Code | 72501-8679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235119082 | Billy Engles | Counselor | 25 Gap Rd, Batesville, AR 72501-8679 | 2006-01-18 |
| 1740782416 | Mechelle Hill | Case Manager/Care Coordinator | 25 Gap Rd, Batesville, AR 72501-8679 | 2018-03-08 |
| 1912409921 | Amber Fortune | Case Manager/Care Coordinator | 25 Gap Rd, Batesville, AR 72501-8679 | 2018-03-06 |
| 1679087068 | Sydney Archuleta | Case Manager/Care Coordinator | 25 Gap Rd, Batesville, AR 72501-8679 | 2017-11-22 |
| 1124532510 | Evan Rodgers | Case Manager/Care Coordinator | 25 Gap Rd, Batesville, AR 72501-8679 | 2017-11-22 |
| 1497274195 | Kristie Baker | Case Manager/Care Coordinator | 25 Gap Rd, Batesville, AR 72501-8679 | 2017-09-13 |
| 1205359809 | Jolene Biddle | Case Manager/Care Coordinator | 25 Gap Rd, Batesville, AR 72501-8679 | 2017-07-25 |
| 1679096614 | Teresa Kellar | Case Manager/Care Coordinator | 25 Gap Rd, Batesville, AR 72501-8679 | 2017-07-21 |
| 1669994885 | Shana Flenoy | Case Manager/Care Coordinator | 25 Gap Rd, Batesville, AR 72501-8679 | 2017-07-10 |
| 1033631254 | Sylvia Davis | Case Manager/Care Coordinator | 25 Gap Rd, Batesville, AR 72501-8679 | 2017-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689137234 | Surya Boopathy | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-10 |
| 1245792530 | Shiyu Wang | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-04 |
| 1023598828 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 16520 White Dr., Batesville, AR 72501 | 2018-08-21 |
| 1437655040 | Bradely Stout | Social Worker | 1650 White Drive, Batesville, AR 72501 | 2018-04-03 |
| 1104342799 | Bobbi Tosh | Nurse Practitioner | 413 Virginia Drive, Batesville, AR 72501 | 2017-08-16 |
| 1912457854 | Melanie Ashleigh Brashers | Occupational Therapy Assistant | 1925 White Drive, Batesville, AR 72501 | 2016-10-04 |
| 1588112346 | Chelli Pollet | Developmental Therapist | 1000 White Dr, Batesville, AR 72501 | 2016-09-21 |
| 1184170482 | Taylor Mynatt | Speech-Language Pathologist | 1000 White Drive, Batesville, AR 72501 | 2016-08-28 |
| 1346626165 | Edward Shaw | Pharmacist | 1045 Saint Louis Street, Walgreens 12417, Batesville, AR 72501 | 2015-08-04 |
| 1457770372 | Stacy Pollack | Obstetrics & Gynecology | 1215 Sidney St Ste 202, Batesville, AR 72501 | 2014-04-08 |
| Find all providers in zip 72501 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942520374 | Carla Jean Oesterling | Specialist | 4241 Forest Road, Batesville, IN 47006 | 2010-06-08 |
| 1538337167 | Tiffany Michelle Peterson | Specialist | 600 Harrison St, Batesville, AR 72501-6943 | 2008-02-17 |
| 1891919668 | Magnolia Counseling | Specialist | 590 Highway 6 E, Batesville, MS 38606-3002 | 2007-04-12 |
| 1700934916 | Surgical Associates of Southeastern Indiana, P.C. | Specialist | 222 State Road 129 S, Batesville, IN 47006-7694 | 2007-01-07 |
| 1922116433 | Edward J Jones | Specialist | 255 Virginia Dr, Batesville, AR 72501-7335 | 2006-08-25 |
| 1750372249 | Sarah Florence Hays | Specialist | 1695 Harrison St, Batesville, AR 72501-7302 | 2005-11-02 |
| 1336140839 | Gregory W Neaville | Specialist | 3443 Harrison St, Batesville, AR 72501-8820 | 2005-08-09 |
| 1811994197 | Radiology Consultants of Se Indiana PC | Specialist | 321 Mitchell Ave, Batesville, IN 47006-8909 | 2005-07-01 |
| 1144742768 | White River Health System Inc | Specialist | 3443 Harrison St, Batesville, AR 72501-8820 | 2017-07-14 |
| 1508186388 | Susan Marie Phillips | Specialist | 958 Highway 46 E, Batesville, IN 47006-7600 | 2010-06-03 |
| Find all providers in BATESVILLE | ||||
| City | BATESVILLE |
| Zip Code | 72501 |
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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.