BRANDY ORTIZ (NPI# 1831651413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831651413 |
| Entity Type | Individual |
| Full Name | BRANDY ORTIZ |
| Practice Address |
1506 Mary Kay Blvd Benton AR 72015-7201 |
| Mailing Address |
Po Box 1589 Benton AR 72018-1589 |
| Practice Telephone | 5013153344 |
| Mailing Telephone | 5013153344 |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | L49625 | AR | Nursing Service Providers |
| Street Address |
1506 MARY KAY BLVD |
| City | BENTON |
| State | AR |
| Zip Code | 72015-7201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396786075 | Andrew Roach | Social Worker | 1506 Mary Kay Blvd, Benton, AR 72015-8909 | 2006-06-10 |
| 1205434917 | Jared Thielke | Case Manager/Care Coordinator | 1506 Mary Kay Blvd, Benton, AR 72015 | 2020-10-14 |
| 1528666732 | David Kidd | Case Manager/Care Coordinator | 1506 Mary Kay Blvd, Benton, AR 72015 | 2020-10-12 |
| 1639789001 | Chase Albaugh | Case Manager/Care Coordinator | 1506 Mary Kay Blvd, Benton, AR 72015-7201 | 2020-07-31 |
| 1962059154 | Keeshunna Reed | Case Manager/Care Coordinator | 1506 Mary Kay Blvd, Benton, AR 72015-7201 | 2019-08-22 |
| 1972158780 | Joel Eldridge | Case Manager/Care Coordinator | 1506 Mary Kay Blvd, Benton, AR 72015-7201 | 2019-08-08 |
| 1134771884 | Abby Fowler | Case Manager/Care Coordinator | 1506 Mary Kay Blvd, Benton, AR 72015-7201 | 2019-07-12 |
| 1881252211 | Larry Houston-huff | Case Manager/Care Coordinator | 1506 Mary Kay Blvd, Benton, AR 72015 | 2019-05-31 |
| 1508320565 | Jennifer House | Case Manager/Care Coordinator | 1506 Mary Kay Blvd, Benton, AR 72015-7201 | 2019-01-24 |
| 1326523184 | Shamila Crawford | Case Manager/Care Coordinator | 1506 Mary Kay Blvd, Benton, AR 72015 | 2018-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| Find all providers in zip 72015 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330233 | Candace D Younger | Licensed Practical Nurse | 507 Lickliter St, Benton, IL 62812-2219 | 2020-09-15 |
| 1063025781 | Austin Grant | Licensed Practical Nurse | 205 Joplin St, Benton, IL 62812-2023 | 2020-08-24 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1144528423 | Robert Mark Robinson | Licensed Practical Nurse | 5 Hickory Ridge Drive, Benton, AR 72019 | 2011-03-10 |
| 1144464702 | Milagros Q. Robbins | Licensed Practical Nurse | 243 2nd Ave, Benton, WI 53803-9410 | 2009-04-27 |
| 1306042171 | Shelby L Kester | Licensed Practical Nurse | 2030 County Line Rd, Benton, PA 17814-7790 | 2007-06-26 |
| 1700399276 | Charissa Watkins | Licensed Practical Nurse | 1718 Old Hot Springs Highway, Benton, AR 72015 | 2017-11-07 |
| 1790298255 | Dean Stapleton | Licensed Practical Nurse | 1506 Mary Kay Blvd, Benton, AR 72015 | 2017-11-07 |
| 1114436599 | Kristen A Childers | Licensed Practical Nurse | 110 Pearson, Benton, AR 72015-4436 | 2017-09-28 |
| 1811406580 | Tasha N Morris | Licensed Practical Nurse | 1506 Mary Kay Blvd, Benton, AR 72015 | 2017-09-26 |
| Find all providers in BENTON | ||||
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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.