Active NPI
Cassandra Lou Hunter, M.D.
- Family Medicine Physician
- Walnut Ridge, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E9406
- Practice address
- 1210 W Main St
Walnut Ridge, AR 72476-1005 - Phone
- (870) 972-0063
- Fax
- (870) 886-3252
- NPI assigned
- Apr 22, 2013
- Last updated
- Dec 9, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E9406 | AR | Primary |
Addresses
Primary practice location
1210 W Main St
Walnut Ridge, AR 72476-1005
Mailing address
PO Box 719
Walnut Ridge, AR 72476-0719
Phone (870) 972-0063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 216524001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Arkansas College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1210 W Main St
Walnut Ridge, AR 72476-1005
Phone (870) 886-3543
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E9406 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawrence County Family Clinic, PA | Family Medicine | Current | Accepting new patients |
Locations
1210 W Main St
Walnut Ridge, AR 72476
Phone (870) 886-3543
Interoperability endpoints
- chunter42052@direct.bmhcc.org
- https://fhir4.healow.com/fhir/r4/DHFIBD
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Lawrence County Family Clinic, PA | Rural health clinic | 5% Or Greater Direct Ownership Interest (20%) | Sep 1, 2017 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Lawence County Family Clinic, P.A .,Rural Health Clinic
- Rural Health Clinic/Center
- Walnut Ridge, AR
- NPI 1740317452
5% Or Greater Direct Ownership Interest
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Walnut Ridge, AR
- NPI 1942337282
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adoration Home Health
- Home Health Agency
- Batesville, AR
- NPI 1821040312
-
dba NEA Baptist Memorial Hospital
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1386699353
-
dba Lawrence Memorial Hospital
- Critical Access Hospital
- Walnut Ridge, AR
- NPI 1194724658
-
dba St Bernards Medical Center
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1922043686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481241600000",
"number": "1003250945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 719",
"city": "WALNUT RIDGE",
"state": "AR",
"postal_code": "724760719",
"telephone_number": "870-972-0063",
"fax_number": "870-886-3252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 W MAIN ST",
"city": "WALNUT RIDGE",
"state": "AR",
"postal_code": "724761005",
"telephone_number": "870-972-0063",
"fax_number": "870-886-3252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNTER",
"first_name": "CASSANDRA",
"middle_name": "LOU",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-22",
"last_updated": "2016-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E9406",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "216524001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Walnut Ridge, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.