Tamela C Matthews, ARNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Smackover, AR
NPI 1235547589 · NPPES record last updated May 28, 2025
Key facts
- NPI
- 1235547589
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- A004132 (AR)
- Practice address
- 1856 Pershing Hwy
Smackover, AR 71762-9542 - Phone
- (870) 725-4392
- NPI assigned
- Jul 31, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150220001548 | AR | Practitioner - Nurse Practitioner | 6901121649 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Arkansas Regional Health Center | Multi-Specialty | Current |
Accepting new patients |
| South Arkansas Regional Health Center | Current |
Accepting new patients | |
| Icarepro of Texas, PA | Multi-Specialty | Past | Accepting new patients |
Locations
715 N College Ave
El Dorado, AR 71730
Phone (870) 862-7921
750 N Flenniken Ave
Ste B
El Dorado, AR 71730
Phone (870) 639-6820
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A004132 | AR | |
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | A004132 | AR | Yes |
Addresses
Primary practice location
1856 Pershing Hwy
Smackover, AR 71762-9542
Mailing address
1856 Pershing Hwy
Smackover, AR 71762-9542
Phone (870) 725-4392
NPI Registry JSON
{
"created_epoch": "1406764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748390400000",
"number": "1235547589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1856 PERSHING HWY",
"city": "SMACKOVER",
"state": "AR",
"postal_code": "717629542",
"telephone_number": "870-725-4392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1856 PERSHING HWY",
"city": "SMACKOVER",
"state": "AR",
"postal_code": "717629542",
"telephone_number": "870-725-4392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "TAMELA",
"middle_name": "C",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-31",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "A004132",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AR",
"license": "A004132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smackover, AR
- Austin Lambert
- Connie Renee Landreneau
- Cleveland Lee Jr.
- Michael Martin
- Mary Ashley Mathews
- Morgan McDaniel
- Clinton Avery Netherland
- R Keith Davis MD PLLC PA
- R Keith Davis MD PLLC PA
- Renee Landreneau, PLLC
All providers in Smackover, AR · Psychiatric/Mental Health Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.