ALEKSANDER FATULA (NPI# 1902163900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902163900 |
| Entity Type | Individual |
| Full Name | ALEKSANDER FATULA |
| Practice Address |
707 W Center Ave Searcy AR 72143-5235 |
| Mailing Address |
120 Meghan Ln Judsonia AR 72081-9302 |
| Practice Telephone | 5018272505 |
| Mailing Telephone | 5017294479 |
| Mailing Fax Number | 5017293537 |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2012-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
P0905027 | AR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | LPC | P0905027 | 01 |
| Street Address |
707 W CENTER AVE |
| City | SEARCY |
| State | AR |
| Zip Code | 72143-5235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679188874 | Jessalyn Elise Tackett | Pharmacist | 200 E. Race Ave, Searcy, AR 72143 | 2020-09-14 |
| 1528697620 | Edward Lee | Student in an Organized Health Care Education/Training Program | 3214 E Race St, Searcy, AR 72143 | 2020-04-02 |
| 1700420338 | Rebecca Joanne Yauilla | Family Medicine | 3214 Race Avenue, Searcy, AR 72143 | 2019-11-06 |
| 1558913517 | The Forge Counseling Group LLC | Counselor | 505 S Elm St Suite C, Searcy, AR 72143 | 2019-07-10 |
| 1023584620 | Lisa Farley | Speech-Language Pathologist | 2918 Hawkins Drive, Searcy, AR 72143 | 2018-10-22 |
| 1144761719 | Christie Brooks | Dietitian, Registered | 91 Lakeway Drive, Searcy, AR 72143 | 2017-03-16 |
| 1639626112 | Kelly Walls | Pharmacist | 805 E Park Ave, Searcy, AR 72143 | 2016-09-01 |
| 1417316480 | Zach Wickes | Student in an Organized Health Care Education/Training Program | 506 N Van, Searcy, AR 72143 | 2016-02-18 |
| 1982081592 | Bethel Burris Oliver Pllc | Dentist | 3245 E. Race St, Searcy, AR 72143 | 2015-05-04 |
| 1053798116 | Ronnie Harlow | Rehabilitation Practitioner | 1005 East Park, Jim Citty Football and Athletic Training Facility, Searcy, AR 72143 | 2015-04-28 |
| Find all providers in zip 72143 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558913517 | The Forge Counseling Group LLC | Counselor | 505 S Elm St Suite C, Searcy, AR 72143 | 2019-07-10 |
| 1417307018 | Nathan Lawrence Sharp | Counselor | 405 W Arch Ave, Searcy, AR 72143-5202 | 2016-06-15 |
| 1346607082 | Elizabeth Howey | Counselor | 107 E Arch Ave, Searcy, AR 72143-7705 | 2016-01-26 |
| 1093960411 | Sean Michael Ronnau | Counselor | 111 W Booth Rd, Searcy, AR 72143-8829 | 2008-11-26 |
| 1497959118 | Russell W. Meadows | Counselor | 707 W Beebe Capps Expy, Searcy, AR 72143-6303 | 2007-06-14 |
| 1518161645 | Joe Doran Stake | Counselor | 2204 Clara St, Searcy, AR 72143 | 2007-06-13 |
| 1710057393 | Robert Channing | Counselor | 505 S Elm St Ste C, Searcy, AR 72143-6604 | 2006-11-09 |
| 1346706678 | Loren K Beason | Counselor | 1507 E Race Ave, Searcy, AR 72143-4661 | 2019-02-12 |
| 1841776440 | Amanda Marie Hardison | Counselor | 1507 E Race Ave, Searcy, AR 72143-4661 | 2018-07-17 |
| 1528436540 | Jeremy Shelby | Counselor | 106 S Spring St, Searcy, AR 72143-7717 | 2015-09-08 |
| Find all providers in SEARCY | ||||
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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.