Individual provider Active NPI

Heather Stallings, APRN

  • Family Nurse Practitioner
  • Jonesboro, AR
National Provider Identifier
1013359769
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A003923 Issued in AR
Practice address
1021 Neil Dr
Jonesboro, AR 72401-4462
Phone
(870) 898-0088
NPI assigned
Jul 23, 2013
Last updated
Jun 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A003923 AR Primary

Addresses

Primary practice location

1021 Neil Dr
Jonesboro, AR 72401-4462

Mailing address

1021 Neil Dr
Jonesboro, AR 72401-4462

Other practice location 1

621 E Matthews Ave
Jonesboro, AR 72401-3145
Phone (870) 932-6799

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131009000714 AR Practitioner - Nurse Practitioner 1658505581 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Solutions of Central Arkansas LLCGroup PAC ID 7911365028, 9 clinicians

Practice addresses (Care Compare)

Jonesboro, AR 72401
Phone (870) 898-0088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A003923ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Solutions of Nwa, LLC CurrentSince Jul 3, 2023 Accepting new patients
Wound Solutions of Nea, LLC CurrentSince Oct 10, 2023 Accepting new patients
Wound Solutions of Central Arkansas LLC CurrentSince May 1, 2023 Accepting new patients
Icarepro of Texas, PA Past Accepting new patients
Wound Solutions of Semo LLC PastSince Sep 13, 2023 Accepting new patients

Locations

1021 Neil Dr
Jonesboro, AR 72401
Phone (870) 273-2799

1021 Neil Dr
Ste 100
Jonesboro, AR 72401
Phone (870) 898-0088

1021 Neil Dr
Ste 101
Jonesboro, AR 72401
Phone (870) 898-0088

1812 Pleasant Grove Rd
#B
Jonesboro, AR 72405
Phone (870) 275-9494

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1013359769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 NEIL DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 NEIL DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014462",
            "telephone_number": "870-898-0088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "621 E Matthews Ave",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724013145",
            "country_code": "US",
            "telephone_number": "870-932-6799",
            "fax_number": "870-910-6668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STALLINGS",
        "first_name": "HEATHER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-23",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A003923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.