Individual provider Active NPI

Tana Allen

  • Psychiatric/Mental Health Nurse Practitioner
  • Morrilton, AR
National Provider Identifier
1114334471
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
A005326 Issued in AR
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

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
229009758MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, AR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 9638527237, 9 clinicians

Practice addresses (Care Compare)

1 Medical Park Dr
Benton, AR 72015-3353
Phone (501) 408-2429

Hospital & facility affiliations

  • St Marys Regional Medical Center Hospital, Russellville, AR, CCN 040041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A005326ARMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allen Mental Health Services LLC Psychiatric/Mental Health CurrentSince Aug 1, 2024 Accepting new patients
Counselors R US, PLLC CurrentSince Jul 23, 2024 Accepting new patients
Forefront-Rush Medical Services PC CurrentSince Aug 1, 2019 Accepting new patients
My Psych Health LLC CurrentSince Feb 1, 2025 Accepting new patients
Rock Mental Health, LLC CurrentSince May 1, 2025 Accepting new patients
Northwest Iowa Hospital Corporation CurrentSince Dec 4, 2017 Accepting new patients
Access Telecare, PLLC CurrentSince Feb 24, 2025 Accepting new patients
Optum Behavioral Care of North Carolina, P.C. PastSince Dec 21, 2025 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.

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

Verify at the official NPI Registry.