MRS. FELICIA ANNA CARRILLO


Address: 636 W Broadway St, North Little Rock, AR 72114-5526
Phone: 5013741153

MRS. FELICIA ANNA CARRILLO (NPI# 1790821890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790821890
Entity Type Individual
Full Name MRS. FELICIA ANNA CARRILLO
Credential LMT
Practice Address 636 W Broadway St
North Little Rock
AR 72114-5526
Mailing Address 201 May St
Sherwood
AR 72120-3814
Practice Telephone 5013741153
Practice Fax Number 5013746213
Mailing Telephone 5018333553
Enumeration Date 2007-01-29
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171W00000X Contractor 4643 AR Other Service Providers

Office Location

Street Address 636 W BROADWAY ST
City NORTH LITTLE ROCK
State AR
Zip Code 72114-5526

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801872304 Arkansas Center for Physical Medicine & Rehabilitation Chiropractor 636 W Broadway St, North Little Rock, AR 72114-5526 2005-12-16
1528588605 Shannon J Green Chiropractor 636 W Broadway St, North Little Rock, AR 72114-5526 2017-06-21
1114387362 William Raen Browder Chiropractor 636 W Broadway St, North Little Rock, AR 72114-5526 2016-03-01
1962670984 Nicole Joy Hurtt Massage Therapist 636 W Broadway St, North Little Rock, AR 72114-5526 2008-02-12
1366632887 Health Management of Arkansas Chiropractor 636 W Broadway St, North Little Rock, AR 72114-5526 2007-07-31
1033222740 Kristin Marie Burdett Massage Therapist 636 W Broadway St, North Little Rock, AR 72114-5526 2006-08-16
1407832801 Steven Frederick Bennett Chiropractor 636 W Broadway St, North Little Rock, AR 72114-5526 2005-12-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316432966 Mid State Counseling and Recovery Service Clinic/Center 1920 Main St Ste 229, North Little Rock, AR 72114 2018-06-26
1053826842 Kelli Lauron Johnson Nurse Practitioner 2800 North Willow Street, North Little Rock, AR 72114 2017-12-03
1689117756 State of Arkansas Skilled Nursing Facility 2401 John Ashley Drive, Building #100, North Little Rock, AR 72114 2016-11-22
1366787459 J Andrew Mccullough Counselor 628 W Broadway St Ste 300, North Little Rock, AR 72114 2012-11-30
1598071490 Roger Elliott Hicks IIi Counselor 2200 Fort Roots Dr # 3d, North Little Rock, AR 72114 2010-08-30
1740594456 Tuyet Thi Van Dentist 520 W. Pershing Blvd., North Little Rock, AR 72114 2010-08-05
1467764183 Jennifer Leigh Nash Behavioral Analyst 628 W Broadway St Ste 100, North Little Rock, AR 72114 2010-07-10
1336398544 Tina A Davie Registered Nurse 2200 Foot Roots Drive, Little Rock, AR 72114 2008-09-11
1316125313 Centers for Youth & Families Community/Behavioral Health 200 W. 20th, North Little Rock, AR 72114 2008-02-01
1881878064 Marie A Graham Nurse Practitioner 636 West Broadway St, No Little Rock, AR 72114 2007-12-24
Find all providers in zip 72114

Taxonomy Information

Taxonomy Code 171W00000X
Grouping Other Service Providers
Classification Contractor

Taxonomy Definition

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1316581093 Cassandra Y Rosser Contractor 8404 Russwood Ln W, Mabelvale, AR 72103-4283 2019-11-05
1871035832 Deborah Palmer Contractor 114 Westfork St., Alma, AR 72921 2016-11-08
1568818672 Jayvian Johnson Contractor 2116 E 11th St, Little Rock, AR 72202-4320 2016-05-06
1295196574 Healthscope Benefits Contractor 27 Corporate Hill Dr, Little Rock, AR 72205-4537 2016-03-14
1922470368 Sharon Hunter Contractor 14213 Edens Bluff Drive, Lowell, AR 72745 2015-10-26
1598141525 Shawn Wilson Contractor 880 W Eden Cir, Fayetteville, AR 72701-6931 2015-07-31
1679979215 Johnny Mitchell Contractor 162 Shadow Oak Lane, Flippin, AR 72634 2014-11-10
1174927628 Cindy A Phelan Contractor 8434 Phoenix Ave, Suiteg, Fort Smith, AR 72903-6143 2014-10-13
1093132409 Renee Nicole Farag Contractor 171 Cow Lane, Junction City, AR 71749 2014-03-24
1639516545 Harry Bassett Contractor 16 Marchwood Cv, Little Rock, AR 72210-3704 2013-05-31
Find all providers with the same taxonomy

Competitor

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City NORTH LITTLE ROCK
Zip Code 72114

Improve Information

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Dataset Information

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.

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