KRISTIE D BRANSCUM (NPI# 1821437302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821437302 |
| Entity Type | Individual |
| Full Name | KRISTIE D BRANSCUM |
| Credential | APRN |
| Practice Address |
35 Grasse St Calico Rock AR 72519 |
| Mailing Address |
Po Box 819 Calico Rock AR 72519-0819 |
| Practice Telephone | 8702972475 |
| Practice Fax Number | 8702974380 |
| Mailing Telephone | 8702972475 |
| Mailing Fax Number | 8702974380 |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2017-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A003892 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | PO1210713 | 01 | |
| AR | BCBS | 5UU88 | 01 |
| AR | 199752758 | 05 |
| Street Address |
35 GRASSE ST |
| City | CALICO ROCK |
| State | AR |
| Zip Code | 72519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164896650 | White River Health System, Inc | Family Medicine | 35 Grasse St, Calico Rock, AR 72519 | 2015-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760096630 | Speech and Swallowing Specialists of Arkansas LLC | Clinic/Center | 557 Pleasant Valley Road, Calico Rock, AR 72519 | 2020-09-08 |
| 1144862111 | Reagan Nicole Watson | Technician | 40 Pine Forest Trail, Jordan, AR 72519 | 2019-10-11 |
| 1588015820 | Bradley Bibb Md Pllc | Clinic/Center | 2161 Ar 56 Highway, Calico Rock, AR 72519 | 2016-06-28 |
| 1295998326 | John Tipton Lane | Dentist | 2860 Park St., Calico Rock, AR 72519 | 2008-07-09 |
| 1255599189 | Cmc Home Health and Hospice, LLC | Home Health | 54 Grasse St, Calico Rock, AR 72519 | 2008-05-28 |
| 1942276217 | Shad Ashley Mcclain | Chiropractor | 201 Hwy 223 (jct 56 & 223), Calico Rock, AR 72519 | 2006-02-27 |
| 1699741082 | Robert C Lane | Anesthesiology | 35 Grasse Street, Calico Rock, AR 72519 | 2006-02-24 |
| 1063717106 | Jackie Cheatham | Emergency Response System Companies | 907 Ar Hwy 56, Calico Rock, AR 72519 | 2011-01-21 |
| 1467649533 | Susan Kay Thomas | Physical Therapy Assistant | 103 Grasse Street, Calico Rock, AR 72519 | 2007-10-02 |
| 1932396009 | Jennifer Bernadean Massey | Physical Therapist | 103 Grasse St., Calico Rock, AR 72519 | 2007-10-02 |
| Find all providers in zip 72519 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922526888 | Baxter Regional Health System | Nurse Practitioner | 2161 Highway 56, Calico Rock, AR 72519-7009 | 2017-08-31 |
| 1134594294 | Kari Anne Lindsey | Nurse Practitioner | 2161 Ar 56 Hwy, Calico Rock, AR 72519-7009 | 2015-12-01 |
| 1801140652 | Thelma Jane Owens | Nurse Practitioner | 61 Grasse St., Calico Rock, AR 72519-0000 | 2012-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617594 | Mckenzie Lauren Cotton | Nurse Practitioner | 1065 Skyline Dr, Conway, AR 72032-3530 | 2020-10-25 |
| 1437758026 | Ashley Michelle Rima | Nurse Practitioner | 205 Spencer St, Hot Springs, AR 71901-7742 | 2020-10-23 |
| 1063010874 | Phillip Wayne Stokes Jr. | Nurse Practitioner | 31 Ashcraft Ct, Paragould, AR 72450-7592 | 2020-10-14 |
| 1720685308 | Dannie Evenda Loy | Nurse Practitioner | 101 Hammond Drive #2131, Hot Springs, AR 71914 | 2020-10-06 |
| 1457958233 | Kaitlyn Soffray Simmons | Nurse Practitioner | 500 Kitchen St, Jonesboro, AR 72401-3135 | 2020-10-05 |
| 1013524487 | Danielle Lynn Frueh | Nurse Practitioner | 103 W University St, Siloam Springs, AR 72761-2663 | 2020-09-29 |
| 1407463938 | Aleshia Williams | Nurse Practitioner | 5401 Clear Creek Ln, Jonesboro, AR 72404-7006 | 2020-09-29 |
| 1801403217 | Jessica Evelyn Mcnamee | Nurse Practitioner | 180 Medical Park Pl Ste 202, Hot Springs, AR 71901-8067 | 2020-09-29 |
| 1437765831 | Allison Nicole Hitt | Nurse Practitioner | 3644 W Hwy 18, Manila, AR 72442 | 2020-09-21 |
| 1528674181 | Maggie Mullican | Nurse Practitioner | 7084 S Pleasant Ridge Dr, Fayetteville, AR 72704-5447 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
| City | CALICO ROCK |
| Zip Code | 72519 |
Please comment or provide details below to improve the information on KRISTIE D BRANSCUM.
| 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.