Individual provider Active NPI

Laura Ashley Hardin, M.D.

  • Family Medicine Physician
  • Benton, AR
National Provider Identifier
1053302844
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E3785 Issued in AR
Practice address
5 Medical Park Dr Ste 203
Benton, AR 72015-3732
Phone
(501) 315-7620
NPI assigned
Nov 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E3785 AR Primary

Addresses

Primary practice location

5 Medical Park Dr Ste 203
Benton, AR 72015-3732

Mailing address

199 E Main St
Farmington, AR 72730-3023
Phone (479) 267-1001

Other practice location 1

199 E Main St
Farmington, AR 72730-3023
Phone (479) 267-1001

Other identifiers 1

IdentifierTypeStateIssuer
154263001MedicaidAR

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040105000193 AR Practitioner - Family Practice 2769381276 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 2001
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Sage Health Arkansas PLLCGroup PAC ID 1658720297, 5 clinicians

Practice addresses (Care Compare)

1800 N Reynolds Rd
Suite 8
Bryant, AR 72022-2525
Phone (501) 746-0818

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E3785ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Regional Medical System Family Medicine CurrentSince Jan 28, 2011 Accepting new patients
Saline Clinics LLC Family Medicine CurrentSince Feb 1, 2021 Accepting new patients
Washington Regional Medical System Past Accepting new patients

Locations

5 Medical Park Dr
Ste 203
Benton, AR 72015
Phone (501) 315-7620

1 Medical Park Dr
Bryant, AR 72015
Phone (501) 776-6000

199 E Main St
Farmington, AR 72730
Phone (479) 267-1001

1125 N College Ave
Fayetteville, AR 72703
Phone (479) 521-8260

3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000

Interoperability endpoints

  • Direct secure messaging: laurahardin@wrms.allscriptsdirect.net
  • FHIR API: https://api.platform.athenahealth.com/16686/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1053302844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 E MAIN ST",
            "city": "FARMINGTON",
            "state": "AR",
            "postal_code": "727303023",
            "telephone_number": "479-267-1001",
            "fax_number": "479-267-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MEDICAL PARK DR STE 203",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153732",
            "telephone_number": "501-315-7620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "199 E Main St",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "AR",
            "postal_code": "727303023",
            "country_code": "US",
            "telephone_number": "479-267-1001",
            "fax_number": "479-267-1026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDIN",
        "first_name": "LAURA",
        "middle_name": "ASHLEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E3785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154263001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

Verify at the official NPI Registry.