Organization Active NPI

Lansdell Family Clinic PLLC

  • Family Nurse Practitioner
  • De Queen, AR
National Provider Identifier
1134596927
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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

Updated by the provider on Jul 14, 2021

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X A003557 AR
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary
Gerontology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
209607762MedicaidAR

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.