Active NPI
Durinda Pena, A.P.N.
- Family Nurse Practitioner
- Fayetteville, AR
National Provider Identifier
1003841883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A02908 APN
- Practice address
- 3232 N North Hills Blvd.
Fayetteville, AR 72703-4005 - Phone
- (479) 587-1700
- Fax
- (479) 587-1366
- NPI assigned
- Jul 11, 2006
- 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 Nurse Practitioner | 363LF0000X | A02908 APN | AR | Primary |
Addresses
Primary practice location
3232 N North Hills Blvd.
Fayetteville, AR 72703-4005
Mailing address
3501 SW Town Vu
Bentonville, AR 72712
Phone (479) 587-1700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A02908 APN | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Emergency Services P C | Past | Accepting new patients | |
| Highlands Oncology Group, PA | Past | Accepting new patients | |
| Highlands Oncology Group PA | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1346211323
-
- Community/Retail Pharmacy
- MTN Home, AR
- NPI 1487373197
-
- Nurse Practitioner
- Athens, TN
- NPI 1669414264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003841883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 SW TOWN VU",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "72712",
"telephone_number": "479-587-1700",
"fax_number": "479-587-1366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3232 N NORTH HILLS BLVD.",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034005",
"telephone_number": "479-587-1700",
"fax_number": "479-587-1366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENA",
"first_name": "DURINDA",
"credential": "A.P.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "A02908 APN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.