Organization Active NPI

Natural State Primary Care LLC

  • Family Nurse Practitioner
  • Batesville, AR
National Provider Identifier
1053917104
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
NATURAL STATE PRIMARY CARE LLC
Practice address
1500 Lawrence St
Batesville, AR 72501-7620
Phone
(870) 253-2363
NPI assigned
Dec 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Authorized official

Name
Morgan B Shirley, CNP
Title
Owner
Phone
(870) 253-2363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1500 Lawrence St
Batesville, AR 72501-7620

Mailing address

1500 Lawrence St
Batesville, AR 72501-7620
Phone (870) 253-2363

National Provider Directory

National Provider Directory

Locations

1500 Lawrence St
Batesville, AR 72501
Phone (870) 612-3223

NPI Registry JSON

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607040000000",
    "number": "1053917104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 LAWRENCE ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017620",
            "telephone_number": "870-253-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LAWRENCE ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017620",
            "telephone_number": "870-253-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURAL STATE PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "SHIRLEY",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-253-2363",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.