HATTIE LEE HARALSON (NPI# 1902300874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902300874 |
| Entity Type | Individual |
| Full Name | HATTIE LEE HARALSON |
| Practice Address |
3825 Campbell Road Benton MS 39039 |
| Practice Telephone | 6625719302 |
| Mailing Telephone | 6625719302 |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2018-03-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376J00000X | Homemaker | Nursing Service Related Providers |
| Street Address |
3825 CAMPBELL ROAD |
| City | BENTON |
| State | MS |
| Zip Code | 39039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629012034 | Kimberly R Ratcliff | Nurse Practitioner | 1312 Nivens Rd, Benton, MS 39039-9132 | 2006-06-15 |
| 1154741502 | Lifecare Solutions LLC | Nurse Practitioner | 1312 Nivens Rd, Benton, MS 39039-9132 | 2014-04-24 |
| 1659704518 | Kc Ltc Geriatric Specialty Pllc | Nurse Practitioner | 1312 Nivens Rd, Benton, MS 39039-9132 | 2013-08-14 |
| 1134490865 | Lifecare Solutions | Nurse Practitioner | 1312 Nivens Rd, Benton, MS 39039-9132 | 2012-01-26 |
| 1952608911 | William M Myers Jr. | Contractor | 1449 Sunny Lane Rd, Benton, MS 39039-9400 | 2011-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134264 | Stephanie Suzanne Worth | Physical Therapy Assistant | 135 Meyers Lake Ct, Benton, MO 63736-9201 | 2020-11-05 |
| 1346841517 | Samuel Wolf | Pharmacist | 17309 Interstate 30 S, Benton, AR 72015-2927 | 2020-11-04 |
| 1386244838 | Dana L Henson | Pharmacist | 3958 Hampton Dr, Benton, AR 72019-7609 | 2020-10-26 |
| 1649879750 | Prime Medical Group Pllc | Dermatology | 5 Medical Park Dr Ste 200, Benton, AR 72015-3732 | 2020-10-20 |
| 1285231043 | Harold Anthony Flood | Nurse Practitioner | 114 E 20th St, Benton, KY 42025-1721 | 2020-10-05 |
| 1619574555 | Brian Scott Burks | Nurse Practitioner | 4109 Hartford Hills Dr, Benton, AR 72019-2540 | 2020-10-05 |
| 1225645674 | Change Academy At Lake of The Ozarks | Psychiatric Residential Treatment Facility | 5842 Highway 30, Benton, TN 37307-4734 | 2020-09-29 |
| 1588270581 | Wk Palmetto Family Practice | Family Medicine | 4200 Palmetto Rd, Benton, LA 71006-9420 | 2020-09-16 |
| 1194330233 | Candace D Younger | Licensed Practical Nurse | 507 Lickliter St, Benton, IL 62812-2219 | 2020-09-15 |
| 1104439355 | Jason Amyx | Counselor | 78 Caky Dr, Benton, KY 42025-7592 | 2020-08-27 |
| Find all providers in BENTON | ||||
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011682 | Tiffany Denice Redd | Homemaker | 15092 S Jackson St, Durant, MS 39063-3900 | 2020-10-23 |
| 1952924763 | Southern Touch Homemaker & Comfort Agency LLC | Homemaker | 501a Lumberton Rd, Columbia, MS 39429-3515 | 2020-05-27 |
| 1831710714 | Annette Santiago | Homemaker | 2019 Springwood Rd, Gautier, MS 39553-7301 | 2020-05-01 |
| 1548895261 | More Than Help Healthcare Services LLC | Homemaker | 124 Carriage Ln, Florence, MS 39073-6015 | 2020-03-04 |
| 1467083907 | Ratoya Walker | Homemaker | 34 Jims Rd, Columbia, MS 39429-8265 | 2020-02-03 |
| 1982249702 | Patricia A Holloway | Homemaker | 115 S Pearl St, Carthage, MS 39051-4131 | 2019-11-15 |
| 1124662531 | Dorothy M Moore | Homemaker | 2211 Highway 45 N Ste G2211, Meridian, MS 39301-2730 | 2019-10-30 |
| 1912548181 | Tammy S Ramsey | Homemaker | 4653 Highway 15 N, Laurel, MS 39443-9473 | 2019-09-30 |
| 1780232801 | Kimberly Thompson | Homemaker | 230 Sawyer Rd, Winona, MS 38967-9504 | 2019-09-02 |
| 1376103408 | Deneitra Jones | Homemaker | 131 Bainbridge Xing, Canton, MS 39046-6031 | 2019-06-20 |
| 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.