Active NPI
Dianne Renee Harrison, FNP
- Family Nurse Practitioner
- Stamps, AR
National Provider Identifier
1033752803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 122102
- Practice address
- 218 Church St
Stamps, AR 71860-2816 - Phone
- (870) 533-1300
- Fax
- (870) 533-1303
- NPI assigned
- Oct 23, 2019
- Last updated
- Aug 31, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP143675 | TX | |
| Family Nurse Practitioner | 363LF0000X | 122102 | AR | Primary |
Addresses
Primary practice location
218 Church St
Stamps, AR 71860-2816
Mailing address
218 Church St
Stamps, AR 71860-2816
Phone (870) 533-1300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | EMDs | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
218 Church St
Stamps, AR 71860-2816
Phone (870) 533-1300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122102 | AR | MD | Family Nurse Practitioner |
| AP143675 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harrison Family Medicine | Current | Accepting new patients |
Locations
218 Church St
Stamps, AR 71860
Phone (870) 533-1300
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.
-
dba Stamps Medical Clinic
- Family Medicine Physician
- Stamps, AR
- NPI 1225762867
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba South Arkansas Home Health
- Home Health Agency
- El Dorado, AR
- NPI 1285659409
-
dba Magnolia Regional Medical Center
- Critical Access Hospital
- Magnolia, AR
- NPI 1700407541
-
dba Christus St. Michael Health System
- General Practice Physician
- Texarkana, TX
- NPI 1184623266
Hospital
-
dba CHRISTUS St. Michael Health System
- General Acute Care Hospital
- Texarkana, TX
- NPI 1295736734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1033752803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 CHURCH ST",
"city": "STAMPS",
"state": "AR",
"postal_code": "718602816",
"telephone_number": "870-533-1300",
"fax_number": "870-533-1303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 CHURCH ST",
"city": "STAMPS",
"state": "AR",
"postal_code": "718602816",
"telephone_number": "870-533-1300",
"fax_number": "870-533-1303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "DIANNE",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-23",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP143675",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "122102",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "EMDs",
"affiliation": "N",
"endpointDescription": "EMAR",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "218 Church St",
"city": "Stamps",
"state": "AR",
"country_code": "US",
"postal_code": "718602816",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Stamps, AR
- Freds Stores of Tennessee Inc (Freds Pharmacy 2906)
- Gary L. Poole (Stamps Medical Clinic)
- Griffins Pharmacy Inc
- Ham's Drugs & Gifts, Inc. (Peoples Drug and Gift)
- Harrison Family Medicine (Stamps Medical Clinic)
- Highlands of Stamps Holdings LLC (Highlands of Stamps Therapy and Living Center)
- Highlands of Stamps, LLC (Highlands of Stamps Therapy and Living Center)
- Homestead Nursing, LLC (Homestead Manor Nursing Home)
- KMJ Enterprises Homestead LLC (Homestead Manor Nursing Home)
- Lafayette County Dental Clinic, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.