Active NPI
Channing Hall, APRN, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Conway, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 122833
- Practice address
- 2255 Sturgis Rd
Conway, AR 72034-8029 - Phone
- (501) 858-3048
- NPI assigned
- Dec 17, 2019
- Last updated
- Dec 17, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 122833 | AR | Primary |
Addresses
Primary practice location
2255 Sturgis Rd
Conway, AR 72034-8029
Mailing address
3855 Lazy Creek TRL
Conway, AR 72032-9180
Phone (870) 814-2689
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Smartphone |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3395 Hwy 5 N
Suite 300
Bryant, AR 72019-9031
Phone (501) 508-2600
4810 W Commercial Dr
North Little Rock, AR 72116-7083
Phone (501) 255-9147
5 Medical Lane
Suite 5D
Conway, AR 72034-4912
5 Medical LN
Suite 5D
Conway, AR 72034-4912
Phone (501) 499-9822
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Telecare, PLLC | Single Specialty | Current | Accepting new patients |
| Reding & Leach MD PLLC | Single Specialty | Current | Accepting new patients |
| Conway Behavioral Health, LLC | Single Specialty | Current | Accepting new patients |
| Conway Counseling & Psychological Services, PLLC | Single Specialty | Current | Accepting new patients |
| Forefront-Rush Medical Services PC | Single Specialty | Current | Accepting new patients |
| Forefront-Matteson Medical Services PC | Single Specialty | Current | Accepting new patients |
| Grace Therapeutics of Arkansas | Single Specialty | Current | Accepting new patients |
Locations
3395 Highway 5 N
Ste 300
Bryant, AR 72019
Phone (501) 508-2600
2255 Sturgis Rd
Conway, AR 72034
Phone (501) 205-0011
5 Medical Ln
Ste 5D
Conway, AR 72034
Phone (501) 499-9822
855 S German Ln
Ste 1
Conway, AR 72034
Phone (501) 358-6606
11501 Huron Ln
Ste 5
Little Rock, AR 72211
Phone (501) 904-4762
300 Spring Building
Ste 900
Little Rock, AR 72201
Phone 80099761969238
4810 W Commercial Dr
North Little Rock, AR 72116
Phone (501) 255-9147
2810 Coliseum Centre Dr
Ste 120
Charlotte, NC 28217
Interoperability endpoints
- channing.hall.1@21565.direct.athenahealth.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Conway Behavioral Health
- Psychiatry Physician
- Conway, AR
- NPI 1245728484
Single Specialty
-
- Professional Counselor
- Conway, AR
- NPI 1528454139
Single Specialty
-
- Psychiatry Physician
- Little Rock, AR
- NPI 1588152649
Single Specialty
-
- Psychiatry Physician
- Dallas, TX
- NPI 1659982551
NC, Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576540800000",
"number": "1104464445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3855 LAZY CREEK TRL",
"city": "CONWAY",
"state": "AR",
"postal_code": "720329180",
"telephone_number": "870-814-2689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2255 STURGIS RD",
"city": "CONWAY",
"state": "AR",
"postal_code": "720348029",
"telephone_number": "501-858-3048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "CHANNING",
"credential": "APRN, PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-17",
"last_updated": "2019-12-17",
"certification_date": "2019-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AR",
"license": "122833",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Smartphone",
"affiliation": "N",
"address_1": "2255 Sturgis Rd",
"city": "Conway",
"state": "AR",
"country_code": "US",
"postal_code": "720348029",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.