Individual provider Active NPI

Casandra Ann Thurman, APRN

  • Nurse Practitioner
  • Booneville, AR
National Provider Identifier
1154058816
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
215235 Issued in AR
Practice address
128 Daniel Dr
Booneville, AR 72927-4055
Phone
(479) 675-2455
Fax
(479) 675-4940
NPI assigned
Aug 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 215235 AR Primary

Addresses

Primary practice location

128 Daniel Dr
Booneville, AR 72927-4055

Mailing address

128 Daniel Dr
Booneville, AR 72927-4055
Phone (479) 675-2455

Other practice location 1

107 S Logan St
Charleston, AR 72933-9036
Phone (479) 573-3120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220927001970 AR Practitioner - Nurse Practitioner 0042696148 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Waldron CurrentSince Sep 26, 2022 Accepting new patients
Mercy Hospital Booneville CurrentSince Sep 26, 2022 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Sep 26, 2022 Accepting new patients
Mercy Hospital Paris CurrentSince Sep 26, 2022 Accepting new patients
Mercy Hospital Waldron Current Accepting new patients
Mercy Hospital Booneville Current Accepting new patients
Mercy Hospital Paris CurrentSince Sep 26, 2022 Accepting new patients
Mercy Hospital Waldron CurrentSince Sep 26, 2022 Accepting new patients
Mercy Hospital Booneville CurrentSince Sep 26, 2022 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Sep 26, 2022 Accepting new patients
Mercy Hospital Paris Past Accepting new patients
Mercy Hospital Booneville Past Accepting new patients

Locations

7003 Chad Colley Blvd
Barling, AR 72923
Phone (479) 431-3493

386 W 7th St
Booneville, AR 72927
Phone (479) 675-3504

128 Daniel Dr
Booneville, AR 72927
Phone (479) 675-2455

118 Tiger Dr
Charleston, AR 72933
Phone (479) 965-0806

107 S Logan St
Charleston, AR 72933
Phone (479) 573-3120

6801 Rogers Ave
Ste 502
Fort Smith, AR 72903

7800 Dallas St
Fort Smith, AR 72903
Phone (479) 259-9286

1420 N H St
Fort Smith, AR 72901
Phone (479) 784-8131

3224 S 70th St
Fort Smith, AR 72903
Phone (479) 314-4810

301 S E St
Fort Smith, AR 72901
Phone (479) 242-4191

3700 Cliff Dr
Fort Smith, AR 72903
Phone (479) 259-9286

6801 Rogers Ave
Fl 5
Fort Smith, AR 72903
Phone (479) 274-4100

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

1000 S Waldron Rd
Fort Smith, AR 72903
Phone (479) 221-9922

4300 Regions Park Dr
Fort Smith, AR 72916
Phone (479) 274-6300

1400 S Zero St
Fort Smith, AR 72901
Phone (479) 573-3082

2435 Veterans Way
Greenwood, AR 72936
Phone (479) 996-4111

351 E Priddy St
Magazine, AR 72943
Phone (479) 969-8640

100 N Walnut Ave
#A
Mansfield, AR 72944
Phone (479) 928-4404

201 S 7th St
Ozark, AR 72949
Phone (479) 667-1590

303 S 5th St
Paris, AR 72855
Phone (479) 314-3154

500 E Academy St
Paris, AR 72855
Phone (479) 963-6101

2000 E Wood St
Paris, AR 72855
Phone (479) 963-1516

2800 Fayetteville Rd
Van Buren, AR 72956
Phone (479) 314-4000

1341 W 6th St
Waldron, AR 72958
Phone (479) 637-2136

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Fort Smith Communities 361 clinicians
Mercy Hospital Booneville 13 clinicians

Practice addresses (Care Compare)

107 S Logan St
Charleston, AR 72933-9036
Phone (479) 573-3120

128 Daniel Dr
Booneville, AR 72927-4055
Phone (479) 675-2455

Hospital & facility affiliations

  • Mercy Hospital Booneville Hospital, Booneville, AR, CCN 041318
  • Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062

NPI Registry JSON

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1154058816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 DANIEL DR",
            "city": "BOONEVILLE",
            "state": "AR",
            "postal_code": "729274055",
            "telephone_number": "479-675-2455",
            "fax_number": "479-675-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 DANIEL DR",
            "city": "BOONEVILLE",
            "state": "AR",
            "postal_code": "729274055",
            "telephone_number": "479-675-2455",
            "fax_number": "479-675-4940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 S Logan St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "AR",
            "postal_code": "729339036",
            "country_code": "US",
            "telephone_number": "479-573-3120",
            "fax_number": "479-965-2008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THURMAN",
        "first_name": "CASANDRA",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "215235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Booneville, AR

Sources for this page

Verify at the official NPI Registry.