Tonya Renea Allen, APRN, NP-C
Individual provider Active NPI Family Nurse Practitioner · Fort Smith, AR
NPI 1013255298 · NPPES record last updated Jul 23, 2014
Key facts
- NPI
- 1013255298
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- A003803 (AR)
- Practice address
- 3112 S 70TH St
Fort Smith, AR 72903-5068 - Phone
- (479) 452-8600
- NPI assigned
- Jan 23, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Arkansas Department of Health Payroll Office
Practice addresses (Care Compare)
4815 W Markham St
Little Rock, AR 72205-3866
Phone (501) 661-2000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130613000655 | AR | Practitioner - Nurse Practitioner | 7214176767 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A003803 | AR | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A003803 | AR | Yes |
Addresses
Primary practice location
3112 S 70TH St
Fort Smith, AR 72903-5068
Mailing address
4815 W Markham St
Little Rock, AR 72205-3866
Phone (501) 661-2000
Other names
- Mrs. Tonya Renea Caple
Other providers in Fort Smith, AR
- Mahnoor Ali
- Alkindi Medical Consultant LLC
- David Allen
- Kipp Allen
- Mark Allen
- Aamnah Altaf
- Ahmad Rached Alzufari
- Jean Bernard Amargos Zayas
- Dena Amerine Harris
- Amir Amidi
All providers in Fort Smith, AR · Family Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.