Individual provider Active NPI

Dianne Walk Plemmons, APN

  • Adult Health Clinical Nurse Specialist
  • Ash Flat, AR
National Provider Identifier
1013243005
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
S02245CNS Issued in AR
Practice address
175 S Corinth Rd
Ash Flat, AR 72513-9658
Phone
(870) 834-0683
NPI assigned
Oct 26, 2009
Last updated
Oct 26, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X S02245CNS AR Primary

Addresses

Primary practice location

175 S Corinth Rd
Ash Flat, AR 72513-9658

Mailing address

175 S Corinth Rd
Ash Flat, AR 72513-9658
Phone (870) 834-0683

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

LicenseStateTypeSpecialty
S02245CNSARMDAdult Health Clinical Nurse Specialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256515200000",
    "number": "1013243005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 S CORINTH RD",
            "city": "ASH FLAT",
            "state": "AR",
            "postal_code": "725139658",
            "telephone_number": "870-834-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 S CORINTH RD",
            "city": "ASH FLAT",
            "state": "AR",
            "postal_code": "725139658",
            "telephone_number": "870-834-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLEMMONS",
        "first_name": "DIANNE",
        "middle_name": "WALK",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-26",
        "last_updated": "2009-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "AR",
            "license": "S02245CNS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ash Flat, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.