Individual provider Active NPI

Dabney Herrold, MSN, APRN, FNP-BC

  • Nurse Practitioner
  • Fort Smith, AR
National Provider Identifier
1033776497
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A005711 Issued in AR
Practice address
3420 S 74TH St
Fort Smith, AR 72903-5026
Phone
(479) 573-3740
NPI assigned
May 21, 2019
Last updated
May 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A005711 AR Primary

Addresses

Primary practice location

3420 S 74TH St
Fort Smith, AR 72903-5026

Mailing address

820 Center St
Conway, AR 72034-5247
Phone (501) 336-4387

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
I20190619001736 AR Practitioner - Nurse Practitioner 9335473792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Arkansas College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3420 S 74TH St
Fort Smith, AR 72903-5026
Phone (479) 573-3740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Fort Smith Communities CurrentSince Jun 17, 2019 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Jun 17, 2019 Accepting new patients

Locations

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

3224 S 70th St
Fort Smith, AR 72903
Phone (479) 314-4810

7001 Rogers Ave
Ste 403
Fort Smith, AR 72903
Phone (479) 573-3101

3420 S 74th St
Fort Smith, AR 72903
Phone (479) 452-1581

Organizations & group practices 2

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": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1033776497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 CENTER ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720345247",
            "telephone_number": "501-336-4387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 S 74TH ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035026",
            "telephone_number": "479-573-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERROLD",
        "first_name": "DABNEY",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A005711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.