SHANNAN DEANN SOUZA (NPI# 1831740125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831740125 |
| Entity Type | Individual |
| Full Name | SHANNAN DEANN SOUZA |
| Credential | APRN |
| Practice Address |
5901 Riley Park Dr Ste B Fort Smith AR 72916-6104 |
| Mailing Address |
Po Box 100 Havana AR 72842-0100 |
| Practice Telephone | 4797633050 |
| Mailing Telephone | 4794950821 |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2019-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F06192213 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5901 RILEY PARK DR STE B |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72916-6104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442506 | Emerald Asher | Massage Therapist | 14522 Us 71, Fort Smith, AR 72916 | 2020-09-22 |
| 1598324220 | Riley Farm Dental & Braces, Pllc | Clinic/Center | 5901 Riley Park Dr., Suite Q, Fort Smith, AR 72916 | 2019-06-06 |
| 1629565072 | Womens Center for Health and Wellness, Pllc | Obstetrics & Gynecology | 8101 Mcclure Dr., Suite 100, Fort Smith, AR 72916 | 2018-04-20 |
| 1750827036 | Angelisa Lambert | Nurse Practitioner | 12300 Old Highway 71 S, Ste A, Fort Smith, AR 72916 | 2017-01-11 |
| 1285946004 | William Justin Hayes Md Pa | Clinic/Center | 920 S. Hwy 45, Bonanza, AR 72916 | 2010-07-09 |
| 1255517066 | Joshua R Wilkinson | Pediatrics | 5901 Riley Park Drive, Suite B, Fort Smith, AR 72916 | 2008-01-11 |
| 1689615445 | Twin Rivers Respiratory Care, Inc. | Durable Medical Equipment & Medical Supplies | 6119 Highway 45, 4, Fort Smith, AR 72916 | 2006-06-10 |
| 1891735098 | William Justin Hayes | Family Medicine | 11300 Roberts Blvd, Chaffee Crossing Clinic, Fort Smith, AR 72916 | 2006-06-07 |
| 1174184923 | James Brogan Lopez | Dentist | 5901 Riley Park Drive, Fort Smtih, AR 72916 | 2019-06-24 |
| 1588121065 | Premier Pediatrics Pllc | Pediatrics | 5901 Riley Park Drive, Suite B, Fort Smith, AR 72916 | 2019-02-21 |
| Find all providers in zip 72916 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018350 | Lacey Deshay Kennon | Nurse Practitioner | 7509 Red Pine Dr, Fort Smith, AR 72916-8809 | 2020-06-19 |
| 1275174518 | Michele Holland | Nurse Practitioner | 3300 S 70th St, Fort Smith, AR 72903-5052 | 2019-10-07 |
| 1851948640 | Mindy Lebarr | Nurse Practitioner | 4850 Leigh Ave, Fort Smith, AR 72903-6018 | 2019-08-26 |
| 1457899338 | Ai-chau Hang Nguyen | Nurse Practitioner | 5428 Ellsworth Rd, Fort Smith, AR 72903-3220 | 2017-02-10 |
| 1558715987 | Amanda Day | Nurse Practitioner | 9207 Highway 71 S Ste 9, Fort Smith, AR 72916-9389 | 2016-04-21 |
| 1659738250 | Dana Kim Pulliam | Nurse Practitioner | 301 S E St Ste A, Fort Smith, AR 72901-4316 | 2016-01-27 |
| 1356716963 | Julie Rowland | Nurse Practitioner | 5100 Rosewood Cir, Fort Smith, AR 72903-7000 | 2015-12-08 |
| 1770712275 | Amy Marie Brown | Nurse Practitioner | 7001 Rogers Ave Ste 401a, Fort Smith, AR 72903-4034 | 2009-07-07 |
| 1356502710 | Jacqueline Goldsmith Phillips | Nurse Practitioner | 7215 Cameron Park Dr, Fort Smith, AR 72903-6167 | 2008-06-18 |
| 1750381489 | Carol L Erwin | Nurse Practitioner | 1623 Rogers Ave, Fort Smith, AR 72901 | 2005-07-22 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72916 |
Please comment or provide details below to improve the information on SHANNAN DEANN SOUZA.
| 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.