MR. NATHAN LEE HARALSON (NPI# 1972872794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972872794 |
| Entity Type | Individual |
| Full Name | MR. NATHAN LEE HARALSON |
| Credential | ATC/L, CDA |
| Practice Address |
2860 I-55 Service Road Suite C Marion AR 72364 |
| Mailing Address |
1115 Clement Rd West Memphis AR 72301-2451 |
| Practice Telephone | 8705146224 |
| Mailing Telephone | 8705146224 |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2011-12-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT430 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2860 I-55 SERVICE ROAD SUITE C |
| City | MARION |
| State | AR |
| Zip Code | 72364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992907067 | Fenter Physical Therapy LLC | Physical Therapist | 2860 I-55 Service Road, Suite C, Marion, AR 72364 | 2007-06-01 |
| 1831379346 | Ashley S Whitmore | Physical Therapist | 2860 I-55 Service Road, Ste. C, Marion, AR 72364 | 2007-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942320 | Freda Cunningham | Pharmacy | 2100 Hwy 77, Marion, AR 72364 | 2020-11-05 |
| 1083235998 | Lorenzo Soto | Specialist/Technologist | 444 Dogwood Cove, Marion, AR 72364 | 2020-05-01 |
| 1225663073 | Martha Hall | Technician | 144 Morningside Drive, Marion, AR 72364 | 2020-03-11 |
| 1073159984 | Angela Hamill | Nurse Practitioner | 924 Ar 77, Marion, AR 72364 | 2019-11-26 |
| 1346761251 | Ashlyn Brook Williams | Nurse Practitioner | 136 Block Street, Marion, AR 72364 | 2017-06-30 |
| 1447622873 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2100 Highway 77, Marion, AR 72364 | 2015-10-26 |
| 1366828378 | Hilary Hartwig | Nurse Practitioner | 1139 Hwy 77, Marion, AR 72364 | 2015-08-03 |
| 1730575077 | Roadmaps To Recovery Counseling Services of Midsouth | Community/Behavioral Health | 162 W Military Road, Marion, AR 72364 | 2015-04-14 |
| 1144661141 | Heather Chapman | Physical Therapy Assistant | 2860 I 55 Service Rd Ste C, Marion, AR 72364 | 2013-07-08 |
| 1679919351 | Gladys Hampton | Counselor | 1227 Highway 77, Suite 2, Marion, AR 72364 | 2013-05-21 |
| Find all providers in zip 72364 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558985226 | Lindsey Nicole Krippel | Specialist/Technologist | 1024 W Brandon Ave, Marion, IN 46952-1533 | 2020-05-29 |
| 1831712306 | Megan Pakkala | Specialist/Technologist | 1403 S Miller Ave, Marion, IN 46953-1150 | 2020-05-19 |
| 1083235998 | Lorenzo Soto | Specialist/Technologist | 444 Dogwood Cove, Marion, AR 72364 | 2020-05-01 |
| 1619502531 | Angelina Marconi | Specialist/Technologist | 410 Charleston Cv, Marion, AR 72364-2673 | 2020-03-11 |
| 1457982373 | Vince Andrew Klopfenstein | Specialist/Technologist | 2410 Prairie Hill Dr, Marion, IA 52302-9018 | 2020-01-29 |
| 1962047928 | Rachel Mcdaniels | Specialist/Technologist | 1403 Joe Abbott Way, Marion, IL 62959-4649 | 2019-11-14 |
| 1114588787 | Sarah Southard Horne | Specialist/Technologist | 1102 Caroline Ln Apt 5, Marion, AR 72364-5057 | 2019-06-25 |
| 1881153344 | Katie Jo Andersen | Specialist/Technologist | 4090 Monarch Ave, Marion, IA 52302-6186 | 2019-03-14 |
| 1407314446 | Courtney Kamman | Specialist/Technologist | 4355 Par Cir, Marion, IA 52302-9820 | 2019-03-08 |
| 1831663723 | Anastasia Gamboa | Specialist/Technologist | 111 Carriage Sta, Marion, NC 28752-5906 | 2019-01-14 |
| Find all providers in MARION | ||||
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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.