Individual provider Active NPI

Nicole Turpin, RN

  • School Registered Nurse
  • Benton, AR
National Provider Identifier
1124570494
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
R103673 Issued in AR
Practice address
121 Cox St
Benton, AR 72015-4611
Phone
(501) 760-6917
NPI assigned
Nov 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X L52213 AR
School Registered Nurse 163WS0200X R103673 AR Primary

Addresses

Primary practice location

121 Cox St
Benton, AR 72015-4611

Mailing address

121 Cox St
Benton, AR 72015-4611
Phone (501) 416-8111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R103673ARMDSchool Registered Nurse
L52213ARMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Civitan Center CurrentSince Feb 24, 2022 Accepting new patients
Ascent Acquisitions Corp-PSC Past Accepting new patients

Locations

121 Cox St
Benton, AR 72015
Phone (501) 351-2192

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1124570494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 COX ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720154611",
            "telephone_number": "501-416-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 COX ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720154611",
            "telephone_number": "501-760-6917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURPIN",
        "first_name": "NICOLE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-02",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AR",
            "license": "L52213",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AR",
            "license": "R103673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.