Individual provider Active NPI

Tiffany McConathy, APRN

  • Nurse Practitioner
  • Hot Springs, AR
National Provider Identifier
1164958013
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A005002 Issued in AR
Practice address
133 Harmony Park
Hot Springs, AR 71913
Phone
(501) 624-7700
Fax
(501) 623-5788
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A005002 AR
Nurse Practitioner 363L00000X A005002 AR Primary

Addresses

Primary practice location

133 Harmony Park
Hot Springs, AR 71913

Mailing address

PO Box 749495
Atlanta, GA 30374-9495
Phone (239) 432-8331

Other practice location 1

180 Medical Park Pl Ste 202
Hot Springs, AR 71901-8067
Phone (504) 625-3334

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
I20170614000576 AR Practitioner - Nurse Practitioner 9234407339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Oncology Partners PAGroup PAC ID 0042569758, 377 clinicians

Practice addresses (Care Compare)

2910 Cypress Rd
Arkadelphia, AR 71923-4227
Phone (501) 624-7700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A005002ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Aesthetics Family Current Accepting new patients
American Oncology Partners PA Nurse Practitioner CurrentSince Nov 1, 2018 Accepting new patients
American Oncology Partners, P.a. Past Accepting new patients
Apollo Medical Center PLLC Past Accepting new patients

Locations

2910 Cypress Rd
Arkadelphia, AR 71923
Phone (501) 624-7700

1 Mercy Ln
Ste 200A
Hot Springs National Park, AR 71913

133 Harmony Park Cir
Hot Springs National Park, AR 71913
Phone (501) 624-7700

130 Medical Cir
Nashville, AR 71852
Phone (501) 624-7700

9160 Forum Corporate Pkwy
Ste 350
Fort Myers, FL 33905
Phone (239) 785-3200

Organizations & group practices 4

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1164958013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749495",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749495",
            "telephone_number": "239-432-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 HARMONY PARK",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "71913",
            "telephone_number": "501-624-7700",
            "fax_number": "501-623-5788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Medical Park Pl Ste 202",
            "address_purpose": "LOCATION",
            "city": "Hot Springs",
            "state": "AR",
            "postal_code": "719018067",
            "country_code": "US",
            "telephone_number": "504-625-3334",
            "fax_number": "501-625-7770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCONATHY",
        "first_name": "TIFFANY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005002",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A005002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.