Individual provider Active NPI

Deonna Lee Whatley, APRN, FNP-C

  • Family Nurse Practitioner
  • Prescott, AR
National Provider Identifier
1164908034
Registry record updated Jul 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A005689 Issued in AR
Practice address
1484 W 1St St N
Prescott, AR 71857-3339
Phone
(870) 887-0155
NPI assigned
Jul 13, 2018
Last updated
Jul 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A005689 AR Primary

Addresses

Primary practice location

1484 W 1St St N
Prescott, AR 71857-3339

Mailing address

1484 W 1St St N
Prescott, AR 71857-3339
Phone (870) 887-0155

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
I20180906002480 AR Practitioner - Nurse Practitioner 2163772427 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist HealthGroup PAC ID 0648177949, shared by 41 NPIs, 106 clinicians

Practice addresses (Care Compare)

1234 S Main St
Baptist Family Health Clinic Malv
Malvern, AR 72104-5226
Phone (501) 337-9066

1484 W 1St St N
2 Baptist Health Family Clinic Prescott
Prescott, AR 71857-3339
Phone (870) 887-0155

200 E Walnut
Gurdon, AR 71743-1256
Phone (870) 353-2800

6679 Hwy 7
Bismarck, AR 71929-7179
Phone (501) 865-2855

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A005689ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Current Accepting new patients
Baptist Health CurrentSince Jul 18, 2018 Accepting new patients
Baptist Health CurrentSince Jul 18, 2018 Accepting new patients
Baptist Health CurrentSince Jul 18, 2018 Accepting new patients
Baptist Health CurrentSince Jul 18, 2018 Accepting new patients
Baptist Health CurrentSince May 2, 2022 Accepting new patients
Baptist Health CurrentSince Jul 18, 2018 Accepting new patients
Arkansas Cardiology Past Accepting new patients

Locations

2913 Cypress Rd
Ste 100
Arkadelphia, AR 71923
Phone (870) 246-2471

6679 Highway 7
Bismarck, AR 71929
Phone (501) 332-1004

10 Montgomery Dr
Caddo Valley, AR 71923
Phone (870) 245-2198

200 E Walnut St
Gurdon, AR 71743
Phone (870) 353-2800

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

1234 S Main St
Malvern, AR 72104
Phone (501) 332-5245

1484 W 1st St N
Prescott, AR 71857
Phone (870) 772-5028

1484 W 1st St N
Ste 2
Prescott, AR 71857
Phone (870) 887-0155

651 Heritage Dr
Sheridan, AR 72150
Phone (870) 942-1301

104 W Taylor St
Sparkman, AR 71763
Phone (870) 678-2226

Interoperability endpoints

  • Direct secure messaging: dwhatley247049@direct.baptist-healthar.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1164908034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1484 W 1ST ST N",
            "city": "PRESCOTT",
            "state": "AR",
            "postal_code": "718573339",
            "telephone_number": "870-887-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1484 W 1ST ST N",
            "city": "PRESCOTT",
            "state": "AR",
            "postal_code": "718573339",
            "telephone_number": "870-887-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHATLEY",
        "first_name": "DEONNA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AR

Sources for this page

Verify at the official NPI Registry.