Active NPI
Tana Allen
- Psychiatric/Mental Health Nurse Practitioner
- Morrilton, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- A005326
- Practice address
- 1401 E Broadway St Ste 23
Morrilton, AR 72110-3708 - Phone
- (501) 462-5789
- Fax
- (501) 285-9115
- NPI assigned
- Jul 18, 2014
- Sex
- Female
- Sole proprietor
- No
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 | A005326 | AR | Primary |
Addresses
Primary practice location
1401 E Broadway St Ste 23
Morrilton, AR 72110-3708
Mailing address
1401 E Broadway St Ste 23
Morrilton, AR 72110-3708
Phone (501) 462-5789
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 229009758 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171128003808 | IA | Practitioner - Nurse Practitioner | 8921365073 | Reassigns benefits to 1 organization |
| I20181001000453 | AR | Practitioner - Nurse Practitioner | 8921365073 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rock Mental Health LLC
Practice addresses (Care Compare)
1 Medical Park Dr
Benton, AR 72015-3353
Phone (501) 408-2429
Hospital & facility affiliations
- St Marys Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A005326 | AR | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allen Mental Health Services LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Counselors R US, PLLC | Current | Accepting new patients | |
| Forefront-Rush Medical Services PC | Current | Accepting new patients | |
| My Psych Health LLC | Current | Accepting new patients | |
| Rock Mental Health, LLC | Current | Accepting new patients | |
| Northwest Iowa Hospital Corporation | Current | Accepting new patients | |
| Access Telecare, PLLC | Current | Accepting new patients | |
| Optum Behavioral Care of North Carolina, P.C. | Past | Accepting new patients |
Locations
825 Highway 71 N
Ste O
Alma, AR 72921
Phone (479) 276-5020
5 Medical Park Dr
Ste 304
Benton, AR 72015
Phone (501) 408-2429
1 Medical Park Dr
Bryant, AR 72015
Phone (501) 776-6000
1124 S Rogers St
Clarksville, AR 72830
Phone (479) 337-7327
300 Spring Building
Ste 900
Little Rock, AR 72201
Phone 80099761969238
1401 E Broadway St
Ste 23
Morrilton, AR 72110
Phone (501) 462-5789
2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000
Organizations & group practices 8
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Morrilton, AR
- NPI 1356182687
AR, Psychiatric/Mental Health
-
- Emergency Medical Services (Emergency Medicine) Physician
- Sioux City, IA
- NPI 1215962550
IA
-
- Community/Behavioral Health Agency
- Clarksville, AR
- NPI 1598484750
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1013303080
-
- Clinical Social Worker
- Little Rock, AR
- NPI 1053298711
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1114334471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 E BROADWAY ST STE 23",
"city": "MORRILTON",
"state": "AR",
"postal_code": "721103708",
"telephone_number": "501-462-5789",
"fax_number": "501-285-9115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 E BROADWAY ST STE 23",
"city": "MORRILTON",
"state": "AR",
"postal_code": "721103708",
"telephone_number": "501-462-5789",
"fax_number": "501-285-9115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "TANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-18",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AR",
"license": "A005326",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "229009758",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morrilton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.