Individual provider Active NPI

Donielle Kay Swanson, CNP

  • Pediatric Nurse Practitioner
  • Harrison, AR
National Provider Identifier
1043776727
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
2018044680 Issued in MO
Practice address
1401 Hwy 65 North
Suite 110
Harrison, AR 72601
Phone
(704) 144-0228
Fax
(870) 414-4023
NPI assigned
Feb 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 2018044680 MO Primary

Addresses

Primary practice location

1401 Hwy 65 North
Suite 110
Harrison, AR 72601

Mailing address

1401 Hwy 65 North
Suite 110
Harrison, AR 72601
Phone (870) 414-4022

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address donielle.swanson@nar.eclinicaldirectplus.com 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200602000363 AR Practitioner - Nurse Practitioner 1951722867 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018044680MOMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Arkansas Regional Medical Center Current Accepting new patients
North Arkansas Regional Medical Center CurrentSince May 1, 2020 Accepting new patients
North Arkansas Regional Medical Center PastSince Oct 1, 2023 Accepting new patients

Locations

724 N Spring St
Ste A
Harrison, AR 72601
Phone (870) 365-0850

620 N Main St
Harrison, AR 72601
Phone (870) 365-2000

106 E Crandall Ave
#A
Harrison, AR 72601
Phone (870) 704-4072

1401 Highway 62 65 N
Ste 110
Harrison, AR 72601
Phone (870) 414-4022

724 N Spring St
Harrison, AR 72601
Phone (870) 414-4000

Interoperability endpoints

  • Direct secure messaging: donielle.swanson@nar.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1043776727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 HWY 65 NORTH",
            "address_2": "SUITE 110",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "72601",
            "telephone_number": "870-414-4022",
            "fax_number": "870-414-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HWY 65 NORTH",
            "address_2": "SUITE 110",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "72601",
            "telephone_number": "704-144-0228",
            "fax_number": "870-414-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "DONIELLE",
        "middle_name": "KAY",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-18",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MO",
            "license": "2018044680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "donielle.swanson@nar.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "724 N Spring St Ste A",
            "city": "Harrison",
            "state": "AR",
            "country_code": "US",
            "postal_code": "726012913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

Verify at the official NPI Registry.