Individual provider Active NPI

Amanda Ruth Guise-McDonough, CNP

  • Adult Health Nurse Practitioner
  • Pine Bluff, AR
National Provider Identifier
1043787070
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
A005720 Issued in AR
Practice address
2801 S Olive St Ste 33
Pine Bluff, AR 71603-5413
Phone
(870) 806-3905
Fax
(855) 576-4093
NPI assigned
Oct 29, 2018
Last updated
Jan 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X A005720 AR
Adult Health Nurse Practitioner 363LA2200X A005720 AR Primary

Addresses

Primary practice location

2801 S Olive St Ste 33
Pine Bluff, AR 71603-5413

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (888) 987-1151

Other practice location 1

5022 Country Club Blvd
Little Rock, AR 72207-4724
Phone (501) 247-1154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210406000051 AR Practitioner - Nurse Practitioner 7214356146 Reassigns benefits to 2 organizations
I20230926000803 MO Practitioner - Nurse Practitioner 7214356146 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A005720ARMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Archwell Health Professional Services of Arkansas PA CurrentSince Jul 26, 2025 Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince May 6, 2024 Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince May 6, 2024 Accepting new patients
Ies HSP Missouri LLC CurrentSince Aug 13, 2023 Accepting new patients

Locations

5525 W 12th St
Little Rock, AR 72204
Phone (501) 307-7403

7 Shackleford West Blvd
Little Rock, AR 72211
Phone (501) 614-3671

2801 S Olive St
Ste 33
Pine Bluff, AR 71603
Phone (870) 806-3905

3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

Interoperability endpoints

  • Direct secure messaging: aguisemcdonough@landmarkhealth-direct.org

Organizations & group practices 4

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": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1043787070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250",
            "telephone_number": "888-987-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 S OLIVE ST STE 33",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716035413",
            "telephone_number": "870-806-3905",
            "fax_number": "855-576-4093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5022 Country Club Blvd",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722074724",
            "country_code": "US",
            "telephone_number": "501-247-1154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUISE-MCDONOUGH",
        "first_name": "AMANDA",
        "middle_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-29",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AR",
            "license": "A005720",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AR",
            "license": "A005720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

Verify at the official NPI Registry.