CLINICAL NEUROSCIENCE ASSOCIATES, INC. (NPI# 1932252699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932252699 |
| Entity Type | Organization |
| Organization Name | CLINICAL NEUROSCIENCE ASSOCIATES, INC. |
| Other Organization Name | CNSA NEUROLOGY |
| Practice Address |
1501 S Waldron Rd Ste 202 Fort Smith AR 72903-2598 |
| Mailing Address |
300 S 8th St Suite 380w Murray KY 42071-2400 |
| Practice Telephone | 4794342743 |
| Practice Fax Number | 8444548351 |
| Mailing Telephone | 2707538656 |
| Mailing Fax Number | 2707673630 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2018-02-28 |
| Authorized Official Name | DR. JON M GUSTAFSON (PRESIDENT) |
| Authorized Official Telephone | 4794342743 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7890482800 | 05 |
| Other Name | Type Code |
|---|---|
| CNSA Neurology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538267414 | Clinical Neuroscience Associates, Inc. | Specialist | 5701 Euper Ln Ste B, Fort Smith, AR 72903-3255 | 2006-09-21 |
| Street Address |
1501 S WALDRON RD STE 202 |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72903-2598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013047356 | Waldron Place Pediatric Clinic, Inc | Clinic/Center | 1501 S Waldron Rd Ste 202, Fort Smith, AR 72903-2598 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285280016 | Bhg L, LLC | Clinic/Center | 1501 Waldron Road, Ste 203, Fort Smith, AR 72903 | 2019-08-16 |
| 1457905903 | Heather Snyder | Optometrist | 1021 South Waldron Road, Fort Smith, AR 72903 | 2019-08-01 |
| 1083272223 | Pediatric Therapy Connections LLC | Clinic/Center | 7601 Westminister Pl, Fort Smith, AR 72903 | 2019-06-03 |
| 1073092821 | Baptist Health Services | Psychiatry & Neurology | 3808 Gary St Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1104305853 | Baptist Health Services | Family Medicine | 5428 Ellsworth Rd Ste A, Fort Smith, AR 72903 | 2018-08-13 |
| 1417436171 | Baptist Health Services | Pediatrics | 5428 Ellsworth Rd Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1558840421 | Baptist Health Services | Family Medicine | 3808 Gary St Ste A, Fort Smith, AR 72903 | 2018-08-10 |
| 1316434707 | Md Weight Loss and Wellness, LLC | Dietitian, Registered | 3416 Old Greenwood Road, Fort Smith, AR 72903 | 2018-04-20 |
| 1942695572 | Donna K Morgan | Counselor | 2408 S. 51st Court Suite G, Fort Smith, AR 72903 | 2015-03-31 |
| 1346658242 | Shelby Mural Esry | Dentist | 3200 Rogers Ave. Suite 111, Fort Smith, AR 72903 | 2014-07-24 |
| Find all providers in zip 72903 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477183176 | Jennifer Leann Jay | Nurse Practitioner | 1501 S Waldron Rd Ste 200, Fort Smith, AR 72903-2565 | 2020-01-22 |
| 1184181216 | Jennifer Anne Julian | Nurse Practitioner | 6801 Rogers Ave Fl 2, Fort Smith, AR 72903-4067 | 2019-02-25 |
| 1750827036 | Angelisa Lambert | Nurse Practitioner | 12300 Old Highway 71 S, Ste A, Fort Smith, AR 72916 | 2017-01-11 |
| 1316129711 | Denise Valentin | Nurse Practitioner | 4020 Newlon Rd, Fort Smith, AR 72904-2111 | 2007-11-28 |
| 1306957006 | Tonya Deann Beineman | Nurse Practitioner | 3811 Rogers Ave, Suite A, Fort Smith, AR 72903-3045 | 2006-08-31 |
| 1083259766 | Mireya Adame | Nurse Practitioner | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2019-11-17 |
| 1487295572 | Jacquelyn Renee Isaacs | Nurse Practitioner | 1000 S Waldron Rd, Fort Smith, AR 72903-2550 | 2019-10-01 |
| 1033776497 | Dabney Herrold | Nurse Practitioner | 3420 S 74th St, Fort Smith, AR 72903-5026 | 2019-05-21 |
| 1760949887 | Rachel Elise Jones | Nurse Practitioner | 6801 Rogers Ave, Fort Smith, AR 72903-4067 | 2019-02-25 |
| 1205392164 | Laurie Lynn Carlton | Nurse Practitioner | 4600 Towson Ave Ste 101w1, Fort Smith, AR 72901-7830 | 2019-02-15 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72903 |
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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.