LAURIE DE ROQUE (NPI# 1881751279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881751279 |
| Entity Type | Individual |
| Full Name | LAURIE DE ROQUE |
| Practice Address |
851 Yellowjacket Ln Clinton AR 72031-6873 |
| Mailing Address |
1840 Columbia Dr Conway AR 72034-7392 |
| Practice Telephone | 5017456034 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | OTR1268 | AR | Other Service Providers |
| Street Address |
851 YELLOWJACKET LN |
| City | CLINTON |
| State | AR |
| Zip Code | 72031-6873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912064395 | Marcus Hutto | Contractor | 851 Yellowjacket Ln, Clinton, AR 72031-6873 | 2007-01-03 |
| 1831221605 | Allison Marie Huett | Speech-Language Pathologist | 851 Yellowjacket Ln, Clinton, AR 72031-6873 | 2007-03-09 |
| 1538216593 | Ginger Morgan | Contractor | 851 Yellowjacket Ln, Clinton, AR 72031-6873 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857909 | Marinda Renee Bryan | Pharmacist | 2526 Hwy 65 S. Ste 101, Clinton, AR 72031 | 2020-10-07 |
| 1740898584 | Jamie Beavers Dds, P.a. | Dentist | 354 Main Street, Clinton, AR 72031 | 2020-07-17 |
| 1992352637 | Peggy Michelle Mann | Occupational Therapy Assistant | 765 Yellow Jacket Lane, Clinton, AR 72031 | 2019-08-19 |
| 1225518475 | Rebecca Sangi | Counselor | 244 U.S. 65, Suite 6, Clinton, AR 72031 | 2018-08-17 |
| 1437668175 | Caitlin Abiseid Shull | Nurse Practitioner | 194 Shake Rag Rd, Clinton, AR 72031 | 2017-09-26 |
| 1386048890 | Jones Family Pharmacy Inc. | Pharmacy | 1930 Hwy 65 South, Clinton, AR 72031 | 2014-10-13 |
| 1275846784 | Timeless Family Chiropractic, LLC | Chiropractor | 116 Maxwell St., Clinton, AR 72031 | 2010-07-26 |
| 1417189481 | Karen Thomas | Case Manager/Care Coordinator | 1303 Hwy 65, Suite 3, Clinton, AR 72031 | 2009-08-10 |
| 1962637082 | Conway County Community Service Inc | Community/Behavioral Health | Hwy 65, Rt. 6, Box 243, Clinton, AR 72031 | 2009-05-19 |
| 1699910596 | Dorthy D Hill | Behavioral Analyst | 1681 Hwy 65 S, Clinton, AR 72031 | 2008-12-05 |
| Find all providers in zip 72031 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033659958 | Shalisa Gaines | Contractor | 608 Highway 80 E # C, Clinton, MS 39056-5104 | 2017-02-24 |
| 1487103685 | John Butler | Contractor | 12321 Saint Helena St, Clinton, LA 70722-3100 | 2016-09-28 |
| 1669629713 | Molly Louvnia Gilmore | Contractor | 8103 Jenni Ave, Clinton, MD 20735-2218 | 2008-08-20 |
| 1912064395 | Marcus Hutto | Contractor | 851 Yellowjacket Ln, Clinton, AR 72031-6873 | 2007-01-03 |
| 1497062178 | Medical Practice Solutions, LLC | Contractor | 8909 Old Branch Ave, Clinton, MD 20735-2528 | 2010-09-02 |
| 1679721492 | Yevonnie Alvina Lowe | Contractor | 3102 Floral Park Rd, Clinton, MD 20735-9665 | 2008-09-04 |
| 1538216593 | Ginger Morgan | Contractor | 851 Yellowjacket Ln, Clinton, AR 72031-6873 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316581093 | Cassandra Y Rosser | Contractor | 8404 Russwood Ln W, Mabelvale, AR 72103-4283 | 2019-11-05 |
| 1871035832 | Deborah Palmer | Contractor | 114 Westfork St., Alma, AR 72921 | 2016-11-08 |
| 1568818672 | Jayvian Johnson | Contractor | 2116 E 11th St, Little Rock, AR 72202-4320 | 2016-05-06 |
| 1295196574 | Healthscope Benefits | Contractor | 27 Corporate Hill Dr, Little Rock, AR 72205-4537 | 2016-03-14 |
| 1922470368 | Sharon Hunter | Contractor | 14213 Edens Bluff Drive, Lowell, AR 72745 | 2015-10-26 |
| 1598141525 | Shawn Wilson | Contractor | 880 W Eden Cir, Fayetteville, AR 72701-6931 | 2015-07-31 |
| 1679979215 | Johnny Mitchell | Contractor | 162 Shadow Oak Lane, Flippin, AR 72634 | 2014-11-10 |
| 1174927628 | Cindy A Phelan | Contractor | 8434 Phoenix Ave, Suiteg, Fort Smith, AR 72903-6143 | 2014-10-13 |
| 1093132409 | Renee Nicole Farag | Contractor | 171 Cow Lane, Junction City, AR 71749 | 2014-03-24 |
| 1639516545 | Harry Bassett | Contractor | 16 Marchwood Cv, Little Rock, AR 72210-3704 | 2013-05-31 |
| Find all providers with the same taxonomy | ||||
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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.