NPIMap

Organization Active NPI

Open Door Health and Community Services

  • Family Nurse Practitioner
  • West Fork, AR
National Provider Identifier
1063871044
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A001150 Issued in AR
Legal business name
OPEN DOOR HEALTH AND COMMUNITY SERVICES
Practice address
425 N Centennial Ave
Suite a
West Fork, AR 72774-2708
Phone
(479) 294-6151
Fax
(479) 294-6152
NPI assigned
Feb 18, 2016
Last updated
Feb 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Authorized official

Name
Lela R Shipman, APRN
Title
Family Nurse Practitioner
Phone
(479) 294-6151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A001150 AR Primary

Addresses

Primary practice location

425 N Centennial Ave
Suite a
West Fork, AR 72774-2708

Mailing address

425 N Centennial Ave
Suite a
West Fork, AR 72774-2708
Phone (479) 294-6151

National Provider Directory

National Provider Directory
Tax ID family
Open Door Health and Community Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1063871044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N CENTENNIAL AVE",
            "address_2": "SUITE A",
            "city": "WEST FORK",
            "state": "AR",
            "postal_code": "727742708",
            "telephone_number": "479-294-6151",
            "fax_number": "479-294-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N CENTENNIAL AVE",
            "address_2": "SUITE A",
            "city": "WEST FORK",
            "state": "AR",
            "postal_code": "727742708",
            "telephone_number": "479-294-6151",
            "fax_number": "479-294-6152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN DOOR HEALTH AND COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "SHIPMAN",
        "authorized_official_first_name": "LELA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "479-294-6151",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A001150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Fork, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.