Individual provider Active NPI

Cammie Michelle Sifford, APN

  • Family Nurse Practitioner
  • Pocahontas, AR
National Provider Identifier
1235385238
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A03133 ANP Issued in AR
Practice address
2901 Medical Center Dr
Pocahontas, AR 72455-9438
Phone
(870) 892-4467
NPI assigned
Aug 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A03133 ANP AR Primary

Addresses

Primary practice location

2901 Medical Center Dr
Pocahontas, AR 72455-9438

Mailing address

PO Box 1131
Pocahontas, AR 72455-1131
Phone (870) 378-3024

Other identifiers 1

IdentifierTypeStateIssuer
194444758MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120712000090 AR Practitioner - Nurse Practitioner 5496910762 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A03133 ANPARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pocahontas Medical Clinic PA CurrentSince Jul 1, 2012 Accepting new patients
Luxe Aesthetics PLLC CurrentSince Apr 13, 2025 Accepting new patients
Pocahontas Medical Clinic PA CurrentSince Jul 1, 2012 Accepting new patients

Locations

400 W 4th St
Corning, AR 72422
Phone (870) 857-2020

2901 Medical Center Dr
Pocahontas, AR 72455
Phone (870) 892-4467

2901 Medical Center Dr
Ste 500
Pocahontas, AR 72455
Phone (870) 892-4467

1601 Market Dr
Pocahontas, AR 72455
Phone (870) 892-4467

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.

NPI Registry JSON

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362441600000",
    "number": "1235385238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1131",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724551131",
            "telephone_number": "870-378-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 MEDICAL CENTER DR",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724559438",
            "telephone_number": "870-892-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIFFORD",
        "first_name": "CAMMIE",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-11",
        "last_updated": "2013-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A03133 ANP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194444758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocahontas, AR

Sources for this page

Verify at the official NPI Registry.