Organization Active NPI

Autonomy Health Care Providers LLC

  • Family Nurse Practitioner
  • Pine Bluff, AR
National Provider Identifier
1083285985
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
AUTONOMY HEALTH CARE PROVIDERS LLC
Practice address
1700 Doctors Dr
Pine Bluff, AR 71603-7015
Phone
(870) 534-2900
Fax
(501) 207-8925
NPI assigned
Jul 2, 2021
Last updated
Jan 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Authorized official

Name
Theresa Ann LybrandNPI 1659663250
Title
Owner
Phone
(501) 765-9214

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

1700 Doctors Dr
Pine Bluff, AR 71603-7015

Mailing address

1700 Doctors Dr
Pine Bluff, AR 71603-7015
Phone (870) 534-2900

Other practice location 1

415 N McKinley St Ste 1095
Little Rock, AR 72205-3203
Phone (870) 619-1155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221017001947 AR Part B Supplier - Clinic/Group Practice 6406251206 Receives reassigned benefits from 1 practitioner
Practice locations: Pine Bluff, AR

National Provider Directory

National Provider Directory

Locations

1080 Pats Ln
Conway, AR 72032
Phone (501) 450-7900

415 N McKinley St
Ste 1095
Little Rock, AR 72205
Phone (501) 291-1543

1700 Doctors Dr
Pine Bluff, AR 71603
Phone (870) 536-2960

7200 S Hazel St
Pine Bluff, AR 71603
Phone (870) 534-2900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1083285985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 DOCTORS DR",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037015",
            "telephone_number": "870-534-2900",
            "fax_number": "501-207-8925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 DOCTORS DR",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037015",
            "telephone_number": "870-534-2900",
            "fax_number": "501-207-8925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 N McKinley St Ste 1095",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722053203",
            "country_code": "US",
            "telephone_number": "870-619-1155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AUTONOMY HEALTH CARE PROVIDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-02",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "LYBRAND",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-765-9214"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.