Leigh Ann Guest, APN, GNP
Individual provider Active NPI Nurse Practitioner · Clarendon, AR
NPI 1053544015 · NPPES record last updated Oct 10, 2023
Key facts
- NPI
- 1053544015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- A003001 (AR)
- Practice address
- 245 Madison St
Clarendon, AR 72029-2706 - Phone
- (870) 747-3381
- Fax
- (870) 747-3631
- NPI assigned
- Aug 25, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130418000078 | AR | Practitioner - Nurse Practitioner | 4789832510 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A003001 | AR | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S a Hall M D PA | Current |
Accepting new patients | |
| Mid-Delta Health Systems Inc | Past |
Accepting new patients |
Locations
812 Newman Dr
#B
Helena, AR 72342
Phone (870) 338-3808
812B Newman Dr
Helena, AR 72342
Phone (501) 338-7401
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EDHFAA/Endpoint/EDHFAA
- clinical@cypertridgefpc.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | A003001 | AR | |
| Nurse Practitioner | 363L00000X | A003001 | AR | Yes |
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
Other providers in Clarendon, AR
- Clarendon Public Schools
- Dewitt Hospital & Nursing Home, Inc
- Christina Kaye Dunlap
- Megan Ellis
- Collyn George
- Marla Henry
- Christopher P. Hopkinson
- Nancy Hornsby
- Jennifer Johnson Kelly
- Ashley Laniece Loftis
All providers in Clarendon, AR · Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.