The Ridge Medical Clinic

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

THE RIDGE MEDICAL CLINIC

Practice address

114 N Washington St
Forrest City, AR 72335-3327

Phone

(870) 317-5676

NPI assigned

Jul 19, 2023

Last updated

Jul 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deanna Kay Michaelis, APRNNPI 1265949895

Title

Full Independent Practice

Phone

(870) 317-5676

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Deanna Michaelis, FNP

  • Family Nurse Practitioner
  • Forrest City, AR
  • NPI 1265949895
  Medicare reassignment Care Compare group NPD Authorized official
• Jessica Katherine Jones, FNP

  • Family Nurse Practitioner
  • Forrest City, AR
  • NPI 1124700257
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1104506617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 N WASHINGTON ST",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723353327",
            "telephone_number": "870-317-5676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N WASHINGTON ST",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723353327",
            "telephone_number": "870-317-5676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RIDGE MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "MICHAELIS",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "FULL INDEPENDENT PRACTICE",
        "authorized_official_telephone_number": "870-317-5676",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Supermarket Investors Inc (Harvest Foods Pharmacy)
• Bethany R Sutton, M.S., CCC-SLP
• Kristy Swindle, OTD/OTR/L
• Whitney Terry
• The Littles, Inc (The Littles Pediatric Clinic)
• Thomas J. Beasley MD PA
• Christie Thomas, CASE MANAGER
• Ross Gahr Thomas, CM
• Ashley Toland, O.D.
• Marilyn Trible, RN/THERAPIST

• Family Nurse Practitioner in Forrest City, AR
• Providers in Forrest City, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.