NICOLE ROSE (NPI# 1902346398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902346398 |
| Entity Type | Individual |
| Full Name | NICOLE ROSE |
| Practice Address |
207 W Conway St Benton AR 72015-3727 |
| Mailing Address |
5011 Congressional Dr Benton AR 72019-3455 |
| Practice Telephone | 5017784861 |
| Practice Fax Number | 5017765794 |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2017-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 217821721 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548744667 | Nicole Rose | Case Manager/Care Coordinator | 50 Community Lane, Liberty, NY 12754 | 2018-09-25 |
| 1043580657 | Nicole Renee Rose | Counselor | 11448 Us Hwy 70 West Business Suite E, Clayton, NC 27520 | 2012-01-12 |
| 1275150427 | Nicole Marie Rose | Behavior Technician | 1160 S Semoran Blvd, Orlando, FL 32807-1461 | 2020-07-02 |
| 1598319782 | Nicole Rose | Registered Nurse | 15 Pearl St E, Sidney, NY 13838-1597 | 2019-07-26 |
| 1699294512 | Nicole Rose | Counselor | 1639 Ryan St, Lake Charles, LA 70601-5948 | 2017-09-12 |
| 1881116093 | Nicole Yoder Rose | Optometrist | 6035 Fairview Rd, Charlotte, NC 28210-3256 | 2017-07-10 |
| 1659739514 | Nicole Rose | Licensed Practical Nurse | 225 Carlton Davidson Ln, Coal Grove, OH 45638-2924 | 2016-02-08 |
| 1285017715 | Nicole Rose | Registered Nurse | 2614 Genesee St, Utica, NY 13502-6003 | 2015-07-01 |
| 1518367952 | Nicole M Rose | Counselor | 58471 29 Palms Hwy Ste 102, Yucca Valley, CA 92284-5818 | 2014-09-03 |
| 1255742516 | Nicole Rose | Speech-Language Pathologist | 169 Valentine Rd, Pittsfield, MA 01201-3042 | 2014-05-08 |
| Street Address |
207 W CONWAY ST |
| City | BENTON |
| State | AR |
| Zip Code | 72015-3727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881142917 | Dana Sollars | Occupational Therapist | 207 W Conway St, Benton, AR 72015-3727 | 2016-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| Find all providers in zip 72015 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679947147 | Melnika J Hale | Specialist/Technologist | 2296 Pleasant Forest Dr, Benton, AR 72015-4992 | 2015-11-21 |
| 1760997498 | Jessica Lee Forthman | Specialist/Technologist | 1306 Military Rd Ste 1, Benton, AR 72015-2732 | 2017-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316557143 | Christie Abella | Specialist/Technologist | 2006 Goodfellow Road, Star City, AR 71667 | 2020-08-06 |
| 1205475639 | Kayla Marie Riddle | Specialist/Technologist | 2700 N Prickett Rd Ste 2b, Bryant, AR 72022-7511 | 2020-01-02 |
| 1417590993 | Skylar Baker | Specialist/Technologist | 212 Scoby Dr, Warren, AR 71671-2050 | 2019-10-28 |
| 1669025045 | Alexis Davis | Specialist/Technologist | 185 Cornerstone Blvd, Hot Springs, AR 71913-6500 | 2019-07-24 |
| 1730646753 | Abigail Kathryn Arterbury | Specialist/Technologist | 3010 Highway 22 E Ste A, Branch, AR 72928-9648 | 2019-02-26 |
| 1568939700 | Rachel Ann Clayton | Specialist/Technologist | 735 Robin St, Camden, AR 71701-6834 | 2018-10-25 |
| 1285112888 | Briana Lanay Hatcher | Specialist/Technologist | 801 Deadrick Rd., Forrest City, AR 72335 | 2018-08-06 |
| 1336636000 | Ashley Napurano | Specialist/Technologist | 9505 Chad Colley Blvd Apt 3407, Fort Smith, AR 72916-5821 | 2018-04-18 |
| 1285146142 | Shelby Michelle Petersen | Specialist/Technologist | 10310 W Markham St Ste 205, Little Rock, AR 72205-1579 | 2017-11-01 |
| 1578087763 | Shane Worthington | Specialist/Technologist | 712 Calvin Avery Dr Ste C, West Memphis, AR 72301-6515 | 2017-07-28 |
| 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.