Active NPI
Marion Conway, FNP
- Family Nurse Practitioner
- MTN Home, AR
National Provider Identifier
1225037807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 109213
- Practice address
- 17 Medical Plaza
MTN Home, AR 72653 - Phone
- (870) 425-6212
- Fax
- (870) 424-3774
- NPI assigned
- Jul 18, 2005
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 109213 | MO | Primary |
Addresses
Primary practice location
17 Medical Plaza
MTN Home, AR 72653
Mailing address
17 Medical Plaza
MTN Home, AR 72653
Phone (870) 425-6212
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1339 | AR | MD | Registered Dietitian |
| 109213 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elk River Health Services, Inc. | Past | Accepting new patients | |
| Preferred Medical Associates LLC | Family | Past | Accepting new patients |
| Ozarks Medical Center | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Anderson, MO
- NPI 1952431389
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210291200000",
"number": "1225037807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 MEDICAL PLAZA",
"city": "MTN HOME",
"state": "AR",
"postal_code": "72653",
"telephone_number": "870-425-6212",
"fax_number": "870-424-3774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 MEDICAL PLAZA",
"city": "MTN HOME",
"state": "AR",
"postal_code": "72653",
"telephone_number": "870-425-6212",
"fax_number": "870-424-3774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONWAY",
"first_name": "MARION",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-18",
"last_updated": "2008-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "109213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in MTN Home, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.