VALERIE BEAVERS (NPI# 1851734453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851734453 |
| Entity Type | Individual |
| Full Name | VALERIE BEAVERS |
| Credential | APRN |
| Practice Address |
5315 W 12th St Little Rock AR 72204-1858 |
| Mailing Address |
1901 Biscayne Dr Little Rock AR 72227-3951 |
| Practice Telephone | 5016640941 |
| Practice Fax Number | 5016663956 |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2020-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
A003866 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861455297 | Valerie Beavers | Social Worker | 800 E Northwest Hwy Ste 106b, Mount Prospect, IL 60056-3457 | 2006-04-07 |
| Street Address |
5315 W 12TH ST |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72204-1858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285628065 | Joe L. Hargrove | Internal Medicine | 5315 W 12th St, Little Rock, AR 72204-1858 | 2005-09-07 |
| 1447806856 | Rachel Young | Nurse Practitioner | 5315 W 12th St, Little Rock, AR 72204-1858 | 2019-08-12 |
| 1275048480 | Sommer Shurae Walker | Physician Assistant | 5315 W 12th St, Little Rock, AR 72204-1858 | 2017-12-11 |
| 1356761696 | Fnu Sibghat Tul Llah | Internal Medicine | 5315 W 12th St, Little Rock, AR 72204-1858 | 2014-04-25 |
| 1689096158 | Arkansas Health Group | Internal Medicine | 5315 W 12th St, Little Rock, AR 72204-1858 | 2014-01-17 |
| 1932263001 | Tara Lynne Jueschke | Physician Assistant | 5315 W 12th St, Little Rock, AR 72204-1858 | 2006-12-21 |
| 1598788341 | Frances R. Harris | Internal Medicine | 5315 W 12th St, Little Rock, AR 72204-1858 | 2006-07-25 |
| 1679567408 | Cardiology and Medicine Clinic P A | Internal Medicine | 5315 W 12th St, Little Rock, AR 72204-1858 | 2005-09-08 |
| 1083608889 | Anthony M Fletcher | Internal Medicine | 5315 W 12th St, Little Rock, AR 72204-1858 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669952966 | Shane Wilson | Non-emergency Medical Transport (VAN) | 1522 S Tyler St, Little Rock, AR 72204 | 2018-08-16 |
| 1659858348 | Poplar Grove Operations LLC | Skilled Nursing Facility | 7801 Kanis Road, Little Rock, AR 72204 | 2018-07-25 |
| 1275056004 | University of Arkansas for Medical Sciences | Orthopaedic Surgery | 108015 Colonel Glenn Rd, Little Rock, AR 72204 | 2017-07-24 |
| 1265954820 | Marilyn Marie Lynch | Registered Nurse | 7723 Colonel Glenn Road, Little Rock, AR 72204 | 2017-07-14 |
| 1962852954 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1122 S. University Ave, Little Rock, AR 72204 | 2016-06-21 |
| 1841607751 | Charity Gillespie | Registered Nurse | 5210 Timberland Dr, Little Rock, AR 72204 | 2014-07-14 |
| 1043625221 | Interventional Surgery Institute of Little Rock, LLC | Clinic/Center | 9 Freeway Drive, Suite A, Little Rock, AR 72204 | 2014-06-25 |
| 1548696065 | Jamie Washington | Prosthetic/Orthotic Supplier | 4701 Westwood Ave, Little Rock, AR 72204 | 2013-09-16 |
| 1124468913 | Stephanie Rachelle Jez | Genetic Counselor, MS | 5800 West 10th Street, Freeway Medical Building, Suite 7-500, Little Rock, AR 72204 | 2013-06-26 |
| 1336492321 | Alton Charles Phillips Sr. | Counselor | 4400shuffield Drive, Little Rock, AR 72204 | 2012-10-16 |
| Find all providers in zip 72204 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451853 | Quynh Chau Bao Wang | Nurse Practitioner | 1024 Boulder Dr, Little Rock, AR 72210-4789 | 2020-06-10 |
| 1932754942 | Amy Cooper | Nurse Practitioner | 14309 Cantrell Rd Ste 7, Little Rock, AR 72223-4230 | 2019-08-06 |
| 1104265594 | Cerisse Kahele Harcourt | Nurse Practitioner | 4301 W Markham St # 721-4, Little Rock, AR 72205-7101 | 2013-06-18 |
| 1871890046 | Beth Evans | Nurse Practitioner | 2200 S Bowman Rd, Little Rock, AR 72211-4136 | 2011-02-23 |
| 1619290871 | Mary Lakeflack | Nurse Practitioner | 44 Clervaux Dr, Little Rock, AR 72223-5501 | 2010-03-02 |
| 1346841723 | Garbo Watson Hearne | Nurse Practitioner | 1001 Wright Ave, Little Rock, AR 72206 | 2020-11-03 |
| 1528685807 | Courtney C Wilkinson | Nurse Practitioner | 9601 Baptist Health Dr, Little Rock, AR 72205-6321 | 2020-07-02 |
| 1831721059 | Keely Sparks | Nurse Practitioner | 10100 Kanis Rd, Little Rock, AR 72205-6202 | 2020-02-05 |
| 1396200978 | Charlett Watson | Nurse Practitioner | 200 River Market Ave Ste 300, Little Rock, AR 72201-1770 | 2019-02-07 |
| 1689148587 | Marquitta Smith | Nurse Practitioner | 200 River Market Ave Ste 300, Little Rock, AR 72201-1770 | 2019-01-15 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72204 |
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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.