Individual provider Active NPI

Leigh Ann Guest, APN, GNP

  • Nurse Practitioner
  • Clarendon, AR
National Provider Identifier
1053544015
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A003001 Issued in AR
Practice address
245 Madison St
Clarendon, AR 72029-2706
Phone
(870) 747-3381
Fax
(870) 747-3631
NPI assigned
Aug 25, 2009
Last updated
Oct 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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 A003001 AR
Nurse Practitioner 363L00000X A003001 AR Primary

Addresses

Primary practice location

245 Madison St
Clarendon, AR 72029-2706

Mailing address

245 Madison St
Clarendon, AR 72029-2706
Phone (870) 747-3381

Other practice location 1

2022 S Buerkle St
Stuttgart, AR 72160-6508
Phone (870) 659-2600

Other practice location 2

1940 S Whitehead Dr
DE Witt, AR 72042-2906
Phone (870) 946-4505

Other practice location 3

812B Newman Dr
Helena, AR 72342-8950
Phone (870) 338-8308

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
I20130418000078 AR Practitioner - Nurse Practitioner 4789832510 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
S a Hall M D PA CurrentSince Jan 20, 2013 Accepting new patients
Mid-Delta Health Systems Inc PastSince Oct 2, 2023 Accepting new patients

Locations

812 Newman Dr
#B
Helena, AR 72342
Phone (870) 338-3808

Interoperability endpoints

  • Direct secure messaging: clinical@cypertridgefpc.directbygreenway.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EDHFAA/Endpoint/EDHFAA

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": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1053544015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 MADISON ST",
            "city": "CLARENDON",
            "state": "AR",
            "postal_code": "720292706",
            "telephone_number": "870-747-3381",
            "fax_number": "870-747-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 MADISON ST",
            "city": "CLARENDON",
            "state": "AR",
            "postal_code": "720292706",
            "telephone_number": "870-747-3381",
            "fax_number": "870-747-3631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2022 S Buerkle St",
            "address_purpose": "LOCATION",
            "city": "Stuttgart",
            "state": "AR",
            "postal_code": "721606508",
            "country_code": "US",
            "telephone_number": "870-659-2600",
            "fax_number": "870-659-2601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1940 S Whitehead Dr",
            "address_purpose": "LOCATION",
            "city": "DE Witt",
            "state": "AR",
            "postal_code": "720422906",
            "country_code": "US",
            "telephone_number": "870-946-4505",
            "fax_number": "870-946-3357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "812B Newman Dr",
            "address_purpose": "LOCATION",
            "city": "Helena",
            "state": "AR",
            "postal_code": "723428950",
            "country_code": "US",
            "telephone_number": "870-338-8308",
            "fax_number": "870-338-7702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUEST",
        "first_name": "LEIGH ANN",
        "credential": "APN, GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-25",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AR",
            "license": "A003001",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A003001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarendon, AR

Sources for this page

Verify at the official NPI Registry.