Maranda Hickey, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A005827 Issued in AR

Practice address

1100 E Poplar St Ste a
Clarksville, AR 72830

Phone

(479) 754-5337

NPI assigned

Aug 30, 2018

Sex

Female

Sole proprietor

No

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

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Johnson Regional Medical CenterGroup PAC ID 1658360284, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Johnson Regional Medical Center Hospital, Clarksville, AR, CCN 040002

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Johnson Regional Medical Center

  • Obstetrics & Gynecology Physician
  • Clarksville, AR
  • NPI 1174583603
  Medicare reassignment Care Compare group NPD
• Johnson Regional Medical Center

  • Land Ambulance
  • Clarksville, AR
  • NPI 1275753881
  NPD
• Johnson Regional Medical Center

  • Orthopaedic Surgery Physician
  • Clarksville, AR
  • NPI 1639557226
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Johnson Regional Medical Center

  • General Acute Care Hospital
  • Clarksville, AR
  • NPI 1134116049
  Care Compare affiliation

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547942400000",
    "number": "1255813879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E POPLAR ST STE A",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728304401",
            "telephone_number": "479-754-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E POPLAR ST STE A",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "72830",
            "telephone_number": "479-754-5337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "192 County Road 2740",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "AR",
            "postal_code": "728478366",
            "country_code": "US",
            "telephone_number": "479-979-5603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "MARANDA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2019-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Henson
• Danelle Hernandez
• Teresa A Hernandez, LCSW
• Carolina Herrera-Zapotitlan, LAC
• Donna Hertlein, QBHP
• Michelle Lavonne Hightower, MHPP
• Jerry Hill
• Rachel Hill, RECOVERY ASSISTANT
• Martha Hinojosa
• Kaethe Hoehling, MS, LPC

• Family Nurse Practitioner in Clarksville, AR
• Providers in Clarksville, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2019; 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.

Verify at the official NPI Registry.