Christine Dale, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

215122 Issued in AR

Practice address

6554 Highway 62 W
Gassville, AR 72635-8619

Phone

(870) 435-5000

NPI assigned

Mar 31, 2021

Last updated

Mar 31, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 2, 2021 through Jun 2, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1225616113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 WESTERN HILLS LN",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726536519",
            "telephone_number": "870-656-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6554 HIGHWAY 62 W",
            "city": "GASSVILLE",
            "state": "AR",
            "postal_code": "726358619",
            "telephone_number": "870-435-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALE",
        "first_name": "CHRISTINE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "215122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Borne' Kennedy, LCSW
• Janis C Camp, L.P.C., L.A.D.A.C.,
• Amber Grace Christian
• Charles G Crosslin, O.D.
• Micaela A Cully
• Judy Dunn, L.P.C.
• Elite Senior Care-North Arkansas LLC (Allheart Senior Care-North Arkansas)
• Elite Senior Care-North Arkansas LLC (Allheart Senior Care-North Arkansas)
• Gassville Care Center Inc (Gassville Nursing And Rehabilitation Center)
• Kathy Jo Gay, LPTA

• Nurse Practitioner in Gassville, AR
• Providers in Gassville, AR by specialty
• Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.