Stacy L North-Flanagan, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

A005574 Issued in AR

Practice address

1420 S I St
Fort Smith, AR 72901

Phone

(479) 784-0990

Fax

(479) 784-0948

NPI assigned

Mar 15, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elangwe Enterprises Inc

  • Family Medicine Physician
  • Fort Smith, AR
  • NPI 1356662878
  NPD (past)

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1093218042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 FORT ST",
            "city": "BARLING",
            "state": "AR",
            "postal_code": "729232013",
            "telephone_number": "479-782-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 S I ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "72901",
            "telephone_number": "479-784-0990",
            "fax_number": "479-784-0948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2420 Rogers Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729014164",
            "country_code": "US",
            "telephone_number": "479-782-0244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORTH-FLANAGAN",
        "first_name": "STACY",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AR",
            "license": "A005574",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AR",
            "license": "A005574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Non Ambulatory Transportation Service
• Norma Smith MD PA
• Olivia Lensing Norman, M.S.
• Philisha Norried, CIT, RDS, BA
• Tara Norris, APN
• Northport Health Services of Arkansas, LLC
• Northport Health Services of Arkansas, LLC
• Northwest Arkansas Anesthesia Services LLC
• Chansamorn Morn Nouansavane, MD
• Khem Nouansavane, APRN

• Adult Health Nurse Practitioner in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Adult Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.