Active NPI
Lansdell Family Clinic PLLC
- Family Nurse Practitioner
- De Queen, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- LANSDELL FAMILY CLINIC PLLC
- Practice address
- 500 E Collin Raye Dr
De Queen, AR 71832-8048 - Phone
- (870) 584-1053
- Fax
- (870) 584-2087
- NPI assigned
- Aug 27, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tawnya L Lansdell, CNP
- Title
- President
- Phone
- (870) 584-1053
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | |||
| General Practice Physician | 208D00000X | |||
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Family Nurse Practitioner | 363LF0000X | A003557 | AR | |
| Family Nurse Practitioner | 363LF0000X | Primary | ||
| Gerontology Nurse Practitioner | 363LG0600X |
Addresses
Primary practice location
500 E Collin Raye Dr
De Queen, AR 71832-8048
Mailing address
PO Box 295
Lockesburg, AR 71846-0295
Phone (870) 289-5865
Other practice location 1
121 Schuman St
Foreman, AR 71836
Phone (870) 542-6744
Other practice location 2
1601 N Broadway Ave
Ada, OK 74820-1403
Phone (580) 421-7850
Other practice location 3
1124 Main Ave
Dierks, AR 71833-9421
Phone (870) 286-2128
Other practice location 4
101 W Main
Lockesburg, AR 71846-9621
Phone (870) 289-2076
Other practice location 5
1500 Jefferson Ave
Texarkana, AR 71854-4522
Phone (870) 774-7641 ext. 5148
Other practice location 6
3809 E 9th St Ste 15
Texarkana, AR 71854-5818
Phone (870) 330-4385
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209607762 | Medicaid | AR |
National Provider Directory
National Provider DirectoryLocations
121 Schuman St
Foreman, AR 71836
Phone (870) 542-6744
1500 Jefferson Ave
Texarkana, AR 71854
Phone (870) 774-7641
1601 N Broadway Ave
Ada, OK 74820
Phone (405) 594-0191
Ownership & related parties
Subparts reporting this organization as parent 2
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Rural Health Clinic/Center
- Lockesburg, AR
- NPI 1578149951
-
- Rural Health Clinic/Center
- Dierks, AR
- NPI 1962015859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626220800000",
"number": "1134596927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 295",
"city": "LOCKESBURG",
"state": "AR",
"postal_code": "718460295",
"telephone_number": "870-289-5865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E COLLIN RAYE DR",
"city": "DE QUEEN",
"state": "AR",
"postal_code": "718328048",
"telephone_number": "870-584-1053",
"fax_number": "870-584-2087"
}
],
"practiceLocations": [
{
"address_1": "121 Schuman St",
"address_purpose": "LOCATION",
"city": "Foreman",
"state": "AR",
"postal_code": "71836",
"country_code": "US",
"telephone_number": "870-542-6744",
"fax_number": "870-542-6747",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1601 N Broadway Ave",
"address_purpose": "LOCATION",
"city": "Ada",
"state": "OK",
"postal_code": "748201403",
"country_code": "US",
"telephone_number": "580-421-7850",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1124 Main Ave",
"address_purpose": "LOCATION",
"city": "Dierks",
"state": "AR",
"postal_code": "718339421",
"country_code": "US",
"telephone_number": "870-286-2128",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 W Main",
"address_purpose": "LOCATION",
"city": "Lockesburg",
"state": "AR",
"postal_code": "718469621",
"country_code": "US",
"telephone_number": "870-289-2076",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1500 Jefferson Ave",
"address_purpose": "LOCATION",
"city": "Texarkana",
"state": "AR",
"postal_code": "718544522",
"country_code": "US",
"telephone_number": "870-774-7641 x5148",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3809 E 9th St Ste 15",
"address_purpose": "LOCATION",
"city": "Texarkana",
"state": "AR",
"postal_code": "718545818",
"country_code": "US",
"telephone_number": "870-330-4385",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LANSDELL FAMILY CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-27",
"last_updated": "2021-07-14",
"certification_date": "2021-06-22",
"status": "A",
"authorized_official_last_name": "LANSDELL",
"authorized_official_first_name": "TAWNYA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "870-584-1053",
"authorized_official_credential": "CNP"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "A003557",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209607762",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in De Queen, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.