Individual provider Active NPI

Heather Diane Abernathy

  • Family Nurse Practitioner
  • Bryant, AR
National Provider Identifier
1184255226
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
123792 Issued in AR
Practice address
1501 Aspen Acres Dr
Bryant, AR 72019-6376
Phone
(501) 844-1983
NPI assigned
Jan 28, 2020
Last updated
Jan 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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 123792 AR Primary

Addresses

Primary practice location

1501 Aspen Acres Dr
Bryant, AR 72019-6376

Mailing address

1501 Aspen Acres Dr
Bryant, AR 72019-6376
Phone (501) 844-1983

Other identifiers 1

IdentifierTypeStateIssuer
123792OtherARAPRN-CNP

Other names 1

  • Heather Diane Sulton Former name

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
I20200421001913 AR Practitioner - Nurse Practitioner 5395175012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fands Physical Therapy, IncGroup PAC ID 7810898459, 217 clinicians
Arkansas Healthcare Services LLCGroup PAC ID 9335134402, 19 clinicians

Practice addresses (Care Compare)

1414 Hwy 71 N
Alma, AR 72921-4723
Phone (479) 632-0321

1900 Malvern Ave
Suite 201
Hot Springs, AR 71901-7777
Phone (501) 623-6455

1910 Malvern Ave
Hot Springs, AR 71901-7752
Phone (501) 625-3400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Healthcare Services LLC CurrentSince Apr 15, 2020 Accepting new patients

Locations

104 Hollywood Ave
Hot Springs National Park, AR 71901
Phone (501) 321-0555

130 Medical Park Pl
Hot Springs National Park, AR 71901
Phone (501) 624-3400

1900 Malvern Ave
Hot Springs National Park, AR 71901
Phone (501) 624-0123

Interoperability endpoints

  • Direct secure messaging: heather.abernathy.1@2554.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/2554/brand/4/csg/1/fhir/r4

Organizations & group practices 2

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 8

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": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1184255226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 ASPEN ACRES DR",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720196376",
            "telephone_number": "501-844-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 ASPEN ACRES DR",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720196376",
            "telephone_number": "501-844-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABERNATHY",
        "first_name": "HEATHER",
        "middle_name": "DIANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "123792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN-CNP",
            "identifier": "123792",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "SULTON",
            "middle_name": "DIANE",
            "credential": "MSN, APRN FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bryant, AR

Sources for this page

Verify at the official NPI Registry.