KELLY R. MCCARTY


Address: 5872 W Bannister Dr, Fayetteville, AR 72704-6536
Phone: 4792760939

KELLY R. MCCARTY (NPI# 1821619370) 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) 1821619370
Entity Type Individual
Full Name KELLY R. MCCARTY
Practice Address 5872 W Bannister Dr
Fayetteville
AR 72704-6536
Mailing Address Po Box 1671
Farmington
AR 72730-1671
Practice Telephone 4792760939
Mailing Telephone 4792760939
Enumeration Date 2020-05-06
Last Update Date 2020-05-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine 123726 AR Allopathic & Osteopathic Physicians
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
123726 AR Physician Assistants & Advanced Practice Nursing Providers

Other Providers KELLY MCCARTY

NPI Name Taxonomy Address Enumeration
1528208865 Kelly A Mccarty Social Worker 230 Rotten Tree Rd, 230 Rotten Tree Rd, Taos, NM 87574 2009-02-26
1790256030 Kelly C Mccarty Occupational Therapy Assistant 220 Newry St, Hollidaysburg, PA 16648-1626 2018-12-16
1922389394 Kelly L Mccarty Pharmacist 875 Blake Wilbur Dr, Suite Cc1101, Palo Alto, CA 94304-2205 2011-08-30
1326260472 Kelly T Mccarty Physician Assistant 100 Bourland Rd Ste 100, Keller, TX 76248-3594 2007-05-02
1053498337 Kelly Dawn Mccarty Counselor 269 S Highland Ave, Prestonsburg, KY 41653-1909 2006-11-01

Office Location

Street Address 5872 W BANNISTER DR
City FAYETTEVILLE
State AR
Zip Code 72704-6536

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598387037 Anne-ashley Hull Speech-Language Pathologist 12905 Randolph Road, Fayetteville, AR 72704 2020-05-07
1427607019 Destiny Bound, LLC Midwife 3825 N Salem Road, Fayetteville, AR 72704 2019-09-06
1043796881 Travis Alexander Physical Therapist 3399 Black Forest Dr Ste 3, Fayetteville, AR 72704 2018-07-16
1104319433 Rise Physical Therapy Pa Clinic/Center 3484 W Wedington Dr Ste 4, Fayetteville, AR 72704 2018-06-12
1346744232 Wedington Dental, Pllc Clinic/Center 3500 Black Forest Drvie, Ste 1, Fayetteville, AR 72704 2018-03-23
1528410487 Sharon Byrd Licensed Practical Nurse 17836 Harmon Rd, Fayetteville, AR 72704 2016-07-05
1861823502 Andrea Warren Pharmacist 2875 W Martin Luther King Jr Blvd, Fayetteville, AR 72704 2013-12-05
1609157726 Jessica Rose Collier Speech-Language Pathologist 2020 E Joyce Ave., Suite 2, Fayetteville, AR 72704 2011-09-02
1194044941 Wcnc, Inc. Skilled Nursing Facility 4405 Persimmon Street, Fayetteville, AR 72704 2010-05-19
1841512944 Jill K Johnston Speech-Language Pathologist 3472 N Sandpiper Dr, Fayetteville, AR 72704 2010-02-17
Find all providers in zip 72704

Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639603707 Onyebuchi Nwaokolo Nurse Practitioner 500 Lanier Ave W Ste 103c, Fayetteville, GA 30214-7640 2017-04-16
1114300100 Jennifer Oxford Nurse Practitioner 2629 N Sierra Ave, Fayetteville, AR 72703-3370 2015-07-08
1982228748 Priscilla Anne Locklear Nurse Practitioner 3637 Cape Center Dr, Fayetteville, NC 28304-4457 2020-06-07
1548881279 Divine Family Practice and Urgent Care, Pllc Nurse Practitioner 526 Sandhurst Dr, Fayetteville, NC 28304-4426 2020-05-05
1790305746 Andrew Joseph Sanchez Nurse Practitioner 745 Glynn St S, Fayetteville, GA 30214-2049 2020-04-20
1356984280 Taylor Anne Schubert Nurse Practitioner 2109 Valleygate Dr Ste 201, Fayetteville, NC 28304-3571 2019-10-23
1245690288 Shenilla Solomon Nurse Practitioner 2300 Ramsey Street, Fayetteville, NC 28301 2016-03-03
1114385374 Tiffany Michelle Jackson Nurse Practitioner 12 E Appleby Rd, Suite 101, Fayetteville, AR 72703-3901 2016-02-03
1164887873 Simpleclinic Pllc Nurse Practitioner 1074 Southern Ave, Fayetteville, NC 28306-1766 2015-12-22
1467877340 Taesha Cybille Nicole Winford Nurse Practitioner 3 East Appleby Road, Suite 301, Fayetteville, AR 72703 2014-02-28
Find all providers in FAYETTEVILLE

Competitor

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City FAYETTEVILLE
Zip Code 72704

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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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