Individual provider Active NPI

Evangeline Lamanilao Price, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sheridan, AR
National Provider Identifier
1245035104
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
231743 Issued in AR
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

Updated by the provider on Aug 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
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 PA 42 clinicians
Reding and Leach MD PLLC 62 clinicians

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

OrganizationSpecialtyStatusNew patients
Supportive Psych Care of Arkansas PA CurrentSince Feb 15, 2025 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.

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

Verify at the official NPI Registry.