Active NPI
Evangeline Lamanilao Price, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Sheridan, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 231743
- Practice address
- 506 Little Creek Cut Off Rd
Sheridan, AR 72150-7798 - Phone
- (870) 942-3000
- NPI assigned
- Feb 14, 2025
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 231743 | AR | Primary |
Addresses
Primary practice location
506 Little Creek Cut Off Rd
Sheridan, AR 72150-7798
Mailing address
352 Worley St
Huntsville, AR 72740-2003
Phone (870) 723-4172
Other practice location 1
115 Orendorff Ave
Harrison, AR 72601-4634
Phone (870) 741-3438
Other practice location 2
811 W Elgin St
Siloam Springs, AR 72761-2327
Phone (479) 524-3128
Other names 1
- Evangeline Lamanilao Forrest
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250306002770 | AR | Practitioner - Nurse Practitioner | 9739600750 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Supportive Psych Care of Arkansas PAReding and Leach MD PLLC
Practice addresses (Care Compare)
11503 Rocky Valley Dr
Little Rock, AR 72212-3035
Phone (866) 708-1240
2566 E Joyce Blvd
Suite 2
Fayetteville, AR 72703-3923
Phone (479) 935-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supportive Psych Care of Arkansas PA | Current | Accepting new patients | |
| Mainline Health Systems Inc | Past | Accepting new patients | |
| Mainline Health Systems, Inc | Past | Accepting new patients | |
| Mainline Health Systems, Inc | Past | Accepting new patients | |
| Mainline Health Systems, Inc | Past | Accepting new patients | |
| Mainline Health Systems Inc | Past | Accepting new patients |
Locations
811 W Elgin St
Siloam Springs, AR 72761
Phone (479) 524-3128
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- Sheridan, AR
- NPI 1104574219
-
- Federally Qualified Health Center (FQHC)
- Sheridan, AR
- NPI 1447994686
-
- Federally Qualified Health Center (FQHC)
- Star City, AR
- NPI 1154757920
-
- Federally Qualified Health Center (FQHC)
- Dermott, AR
- NPI 1477004471
-
- Federally Qualified Health Center (FQHC)
- Monticello, AR
- NPI 1659890150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755561600000",
"number": "1245035104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "352 WORLEY ST",
"city": "HUNTSVILLE",
"state": "AR",
"postal_code": "727402003",
"telephone_number": "870-723-4172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 LITTLE CREEK CUT OFF RD",
"city": "SHERIDAN",
"state": "AR",
"postal_code": "721507798",
"telephone_number": "870-942-3000"
}
],
"practiceLocations": [
{
"address_1": "115 Orendorff Ave",
"address_purpose": "LOCATION",
"city": "Harrison",
"state": "AR",
"postal_code": "726014634",
"country_code": "US",
"telephone_number": "870-741-3438",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "811 W Elgin St",
"address_purpose": "LOCATION",
"city": "Siloam Springs",
"state": "AR",
"postal_code": "727612327",
"country_code": "US",
"telephone_number": "479-524-3128",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRICE",
"first_name": "EVANGELINE",
"middle_name": "LAMANILAO",
"credential": "APRN, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-14",
"last_updated": "2025-08-19",
"certification_date": "2025-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AR",
"license": "231743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EVANGELINE",
"last_name": "FORREST",
"middle_name": "LAMANILAO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sheridan, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.