Tonny Dement Featherston, APRN

Individual provider Active NPI Family Nurse Practitioner · Piggott, AR

NPI 1215044052 · NPPES record last updated Nov 24, 2023

Key facts

NPI
1215044052
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
A001753 (AR)
Practice address
Piggott Community Hospital
1206 Gordon Duckworth Dr
Piggott, AR 72454-1911
Phone
(870) 598-3881
Fax
(870) 598-5716
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040628000230 AR Practitioner - Nurse Practitioner 4284610551 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A01753ARMDFamily Nurse Practitioner
147859MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Piggott Community Hospital Current
since Nov 1, 2008
Accepting new patients
Piggott Community Hospital Current
since Nov 1, 2008
Accepting new patients

Locations

1206 Gordon Duckworth Dr
Piggott, AR 72454
Phone (870) 598-3881

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A001753 AR Yes
Family Nurse Practitioner 363LF0000X A01753 AR
Family Nurse Practitioner 363LF0000X 147859 MO

Addresses

Primary practice location

Piggott Community Hospital
1206 Gordon Duckworth Dr
Piggott, AR 72454-1911

Mailing address

Tonny Dement Featherston Piggott Community Hospital
1206 Gordon Duckworth Dr
Piggott, AR 72454-1911
Phone (870) 598-3881

Other identifiers

IdentifierTypeStateIssuer
0385718-22OtherARANCC

Other names

  • Ms. Tonny McCrea Dement Former name

Other providers in Piggott, AR

All providers in Piggott, AR · Family Nurse Practitioner in Arkansas

Sources for this page

Verify at the official NPI Registry.