Melissa Catherine Qualls

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A03224ANP Issued in AR

Practice address

200 McAuley CT
Hot Springs, AR 71913-6312

Phone

(501) 623-4485

Fax

(501) 623-4480

NPI assigned

Mar 24, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2021 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Hot Springs Clinic of Otolaryngology PA

  • Otolaryngology Physician
  • Hot Springs, AR
  • NPI 1285660506
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1205078144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MCAULEY CT",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136312",
            "telephone_number": "501-623-4485",
            "fax_number": "501-623-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MCAULEY CT",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136312",
            "telephone_number": "501-623-4485",
            "fax_number": "501-623-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUALLS",
        "first_name": "MELISSA",
        "middle_name": "CATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-24",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A03224ANP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177753758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Abigail Pumphrey, APRN
• Purely Nourished Consulting, LLC
• Jacob Michael Purifoy, DDS
• Kayla Grace Purifoy
• Melissa Ann Qualls
• Quapaw Care and Rehabilitation Center LLC
• Quapaw House
• Quapaw House, Inc.
• Quapaw MD PLLC
• Jennifer Rader, CRNA

• Family Nurse Practitioner in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.