ANGELA MICHAELA HOLYFIELD (NPI# 1790311314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790311314 |
| Entity Type | Individual |
| Full Name | ANGELA MICHAELA HOLYFIELD |
| Credential | PMHNP-BC, APRN |
| Practice Address |
6601 W 12th St Little Rock AR 72204-1513 |
| Mailing Address |
1605 Debswood Dr Bryant AR 72022-2826 |
| Practice Telephone | 5016668686 |
| Mailing Telephone | 5013040807 |
| Enumeration Date | 2020-03-15 |
| Last Update Date | 2020-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
122455 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6501 W 12th St, Little Rock, AR 722041511 | 5016668686 |
| Street Address |
6601 W 12TH ST |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72204-1513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013020494 | Michael Ekdahl | Counselor | 6601 W 12th St, Little Rock, AR 72204-1513 | 2006-08-17 |
| 1033719786 | Alexis Stallings | Case Manager/Care Coordinator | 6601 W 12th St, Little Rock, AR 72204-1513 | 2020-10-30 |
| 1164022810 | James Tolbert | Case Manager/Care Coordinator | 6601 W 12th St, Little Rock, AR 72204-1513 | 2020-10-30 |
| 1558961490 | Jordan Pegues | Case Manager/Care Coordinator | 6601 W 12th St, Little Rock, AR 72204-1513 | 2020-10-29 |
| 1518567387 | Michael Simmons | Case Manager/Care Coordinator | 6601 W 12th St, Little Rock, AR 72204-1513 | 2020-10-29 |
| 1477151595 | Tianna Glover | Case Manager/Care Coordinator | 6601 W 12th St, Little Rock, AR 72204-1513 | 2020-10-12 |
| 1922606045 | Kadarius Knapper | Case Manager/Care Coordinator | 6601 W 12th St, Little Rock, AR 72204-1513 | 2020-10-12 |
| 1700491263 | Ferrell Bonner | Case Manager/Care Coordinator | 6601 W 12th St, Little Rock, AR 72204-1513 | 2020-09-11 |
| 1336754878 | Shantale Harris | Case Manager/Care Coordinator | 6601 W 12th St, Little Rock, AR 72204-1513 | 2020-09-11 |
| 1316552854 | Taylor Collins | Case Manager/Care Coordinator | 6601 W 12th St, Little Rock, AR 72204-1513 | 2020-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669952966 | Shane Wilson | Non-emergency Medical Transport (VAN) | 1522 S Tyler St, Little Rock, AR 72204 | 2018-08-16 |
| 1659858348 | Poplar Grove Operations LLC | Skilled Nursing Facility | 7801 Kanis Road, Little Rock, AR 72204 | 2018-07-25 |
| 1275056004 | University of Arkansas for Medical Sciences | Orthopaedic Surgery | 108015 Colonel Glenn Rd, Little Rock, AR 72204 | 2017-07-24 |
| 1265954820 | Marilyn Marie Lynch | Registered Nurse | 7723 Colonel Glenn Road, Little Rock, AR 72204 | 2017-07-14 |
| 1962852954 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1122 S. University Ave, Little Rock, AR 72204 | 2016-06-21 |
| 1841607751 | Charity Gillespie | Registered Nurse | 5210 Timberland Dr, Little Rock, AR 72204 | 2014-07-14 |
| 1043625221 | Interventional Surgery Institute of Little Rock, LLC | Clinic/Center | 9 Freeway Drive, Suite A, Little Rock, AR 72204 | 2014-06-25 |
| 1548696065 | Jamie Washington | Prosthetic/Orthotic Supplier | 4701 Westwood Ave, Little Rock, AR 72204 | 2013-09-16 |
| 1124468913 | Stephanie Rachelle Jez | Genetic Counselor, MS | 5800 West 10th Street, Freeway Medical Building, Suite 7-500, Little Rock, AR 72204 | 2013-06-26 |
| 1336492321 | Alton Charles Phillips Sr. | Counselor | 4400shuffield Drive, Little Rock, AR 72204 | 2012-10-16 |
| Find all providers in zip 72204 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647918 | Coco Psychiatric Services Pllc | Nurse Practitioner | 115 Bella Rosa Pl, Little Rock, AR 72223-4771 | 2020-10-23 |
| 1538767462 | Safe Harbor Behavioral Health Pllc | Nurse Practitioner | 11401 N Rodney Parham Rd Ste 4, Little Rock, AR 72212-4168 | 2020-10-13 |
| 1962040568 | Erica N Taylor | Nurse Practitioner | 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 | 2019-12-13 |
| 1912473125 | Christopher Lucas Stone | Nurse Practitioner | 133 Booker St, Little Rock, AR 72205-5813 | 2018-10-16 |
| 1861843831 | Chloe Ward | Nurse Practitioner | 10801 Executive Center Dr Ste 101, Little Rock, AR 72211-4301 | 2016-06-30 |
| 1407226327 | Connie Brown | Nurse Practitioner | 2504 Stephanie Dr, Little Rock, AR 72206-5418 | 2015-10-05 |
| 1437121373 | Ashley Ellen Green | Nurse Practitioner | 1719 Merrill Dr, Little Rock, AR 72212-4009 | 2006-02-04 |
| 1831717115 | Martha Marie Shaw | Nurse Practitioner | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-07-13 |
| 1780215640 | Amanda Cabaniss Rogers | Nurse Practitioner | 6 Emerald Ct, Little Rock, AR 72212-2107 | 2020-01-30 |
| 1497385009 | Cara Jane Meckfessel | Nurse Practitioner | 1301 Wilson Rd, Little Rock, AR 72205-6659 | 2020-01-22 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72204 |
Please comment or provide details below to improve the information on ANGELA MICHAELA HOLYFIELD.
| 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.