Active NPI
Tina M Ford, RN
- Psychiatric/Mental Health Registered Nurse
- Harrison, AR
National Provider Identifier
1174779581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- R42741
- Practice address
- 702 N Main St
Suite C
Harrison, AR 72601-2900 - Phone
- (870) 741-2658
- Fax
- (870) 741-2722
- NPI assigned
- Aug 18, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | R42741 | AR | Primary |
Addresses
Primary practice location
702 N Main St
Suite C
Harrison, AR 72601-2900
Mailing address
4253 N Crossover Rd
Fayetteville, AR 72703-4593
Phone (479) 521-5731
Other names 1
- Tina M Kessler
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R42741 | AR | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219017600000",
"number": "1174779581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4253 N CROSSOVER RD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034593",
"telephone_number": "479-521-5731",
"fax_number": "479-521-6520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 N MAIN ST",
"address_2": "SUITE C",
"city": "HARRISON",
"state": "AR",
"postal_code": "726012900",
"telephone_number": "870-741-2658",
"fax_number": "870-741-2722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "TINA",
"middle_name": "M",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-18",
"last_updated": "2008-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "AR",
"license": "R42741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TINA",
"last_name": "KESSLER",
"middle_name": "M",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Harrison, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.