Courtney Rae Shackelford (NPI# 1841831245, PAC ID# 9133551161) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1841831245 |
| PAC ID by PECOS | 9133551161 |
| Professional Enrollment ID | I20191113002071 |
| Full Name | Courtney Rae Shackelford |
| Organization Legal Name | WHITE RIVER HEALTH SYSTEM INC |
| Address |
2200 Malcolm Ave Newport AR 72112-3668 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 0143134270 |
| Number of Group Practice Members | 146 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1710 Harrison St, Batesville, AR 72501-7303 | WHITE RIVER HEALTH SYSTEM INC | |
| 501 Virginia Dr, Suite C, Batesville, AR 72501-7317 | 8707932371 | WHITE RIVER HEALTH SYSTEM INC |
| 1526 E Main St Slot, 31 White River Med Physicians Group, Melbourne, AR 72501-3141 | 8702623210 | WHITE RIVER HEALTH SYSTEM INC |
| 2200 Malcolm Ave, Newport, AR 72112-3668 | WHITE RIVER HEALTH SYSTEM INC |
| Organization Legal Name | WHITE RIVER HEALTH SYSTEM INC |
| Physicians | 150 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dylan Estes | Family Medicine | White River Health System Inc | 1215 Sidney St, Suite 300, Batesville, AR 72501-7201 |
| Arnold Wayne Harris | Occupational Therapy | White River Health System Inc | 1526 E Main St Slot, 9 Wrmc Orthopaedic and Sports Medicine Clinic, Melbourne, AR 72556-9315 |
| Ashley Howard | Nurse Practitioner | White River Health System Inc | 2200 Malcolm Ave, Slot27, Newport, AR 72112-3668 |
| Mantinderpreet Singh | Neurology | White River Health System Inc | 1699 Harrison St, Suite D, Batesville, AR 72501-7318 |
| Krishna Siva Sai Kakkera | Pulmonary Disease | White River Health System Inc | 16 Hospital Cir, Suite A, Batesville, AR 72501-7343 |
| Bobbi Tosh | Nurse Practitioner | White River Health System Inc | 413 Virginia Dr, Batesville, AR 72501-7329 |
| Jerrod R Anderson | Emergency Medicine | White River Health System Inc | 1710 Harrison St Slot, 24 White River Emergency Physicians, Batesville, AR 72501-7303 |
| Praveen Pakeerappa | Physical Medicine and Rehabilitation | White River Health System Inc | 1700 Harrison St T, Batesville, AR 72501-7316 |
| Jyoti Chaudhary | Internal Medicine | White River Health System Inc | 12 Hospital Cir B, Batesville, AR 72501-7326 |
| Whitney Melton | Nurse Practitioner | White River Health System Inc | 501 Vine St, Newark, AR 72562-9711 |
| Street Address |
2200 MALCOLM AVE |
| City | NEWPORT |
| State | AR |
| Zip | 72112-3668 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Howard | Nurse Practitioner | White River Health System Inc | 2200 Malcolm Ave, Slot27, Newport, AR 72112-3668 |
| Nicole M Lawson | Family Medicine | White River Health System Inc | 2200 Malcolm Ave, Newport, AR 72112-3668 |
| Randall E Hunt | Family Medicine | White River Health System Inc | 2200 Malcolm Ave, Newport, AR 72112-3668 |
| Anthony W Lamkin | Emergency Medicine | White River Health System Inc | 2200 Malcolm Ave, Newport, AR 72112-3668 |
| Aditi Saraswat | Anesthesiology | White River Health System Inc | 2200 Malcolm Ave, Slot27, Newport, AR 72112-3668 |
| Kathleen Maples | Nurse Practitioner | White River Health System Inc | 2200 Malcolm Ave, Suite B, Newport, AR 72112-3697 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark D Butler | Chiropractic | Wynne Chiropractic Clinic, Inc. | 2301 Hwy 367 N, Butler Chiropractic Clinic, Newport, AR 72112 |
| Becky J Rush | Physical Therapy | Newport Advanced Physical Therapy, Inc. | 801 Malcolm Ave, Newport, AR 72112-3409 |
| Lori Owens | Physical Therapy | Newport Advanced Physical Therapy, Inc. | 801 Malcolm Ave, Newport, AR 72112-3409 |
| Alyson D Edwards | Occupational Therapy | Gross Therapy Services Inc | 801 Malcolm Ave, Newport, AR 72112-3409 |
| Frank Love Jr. | Optometry | 915 Malcolm Ave, Newport, AR 72112-3501 | |
| Rhonda E Whybrew | Chiropractic | 1122 Malcolm Ave, Newport, AR 72112-3506 | |
| Mufiz Chauhan | Diagnostic Radiology | 1205 Mclain St, Newport, AR 72112-3533 | |
| Ian Chase Parker | Family Medicine | White County Medical Center | 1200 Mclain St, Newport, AR 72112-3534 |
| John C Henderson | Cardiovascular Disease (cardiology) | White County Medical Center | 1200 Mclain St, Newport, AR 72112-3534 |
| Kyle R Blickenstaff | Orthopedic Surgery | White County Medical Center | 1200 Mclain St, Newport, AR 72112-3534 |
| Find all physicians in zip 72112 | |||
| City | NEWPORT |
| Zip Code | 72112 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | NEWPORT + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Courtney Rae Shackelford.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.