Active NPI
William P Stark, RN
- Registered Nurse
- Texarkana, AR
National Provider Identifier
1184871535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R50794
- Practice address
- 701 Arkansas Blvd
Texarkana, AR 71854-2105 - Phone
- (870) 772-2170
- Fax
- (870) 772-2138
- NPI assigned
- Aug 27, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R50794 | AR | Primary |
Addresses
Primary practice location
701 Arkansas Blvd
Texarkana, AR 71854-2105
Mailing address
3352 N Futrall Dr
Fayetteville, AR 72703-4057
Phone (479) 521-5868
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 |
|---|---|---|---|
| R50794 | AR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228435200000",
"number": "1184871535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3352 N FUTRALL DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034057",
"telephone_number": "479-521-5868",
"fax_number": "479-587-8206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 ARKANSAS BLVD",
"city": "TEXARKANA",
"state": "AR",
"postal_code": "718542105",
"telephone_number": "870-772-2170",
"fax_number": "870-772-2138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARK",
"first_name": "WILLIAM",
"middle_name": "P",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-27",
"last_updated": "2008-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AR",
"license": "R50794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Texarkana, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.