Active NPI
Amanda Marie Austin, RN
- Registered Nurse
- McCrory, AR
National Provider Identifier
1255989588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R100066
- Practice address
- 801 North Edmonds
801 North Edmonds
McCrory, AR 72101 - Phone
- (870) 731-5411
- Fax
- (870) 731-5431
- NPI assigned
- Aug 29, 2019
- Last updated
- Aug 29, 2019
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R100066 | AR | Primary |
Addresses
Primary practice location
801 North Edmonds
801 North Edmonds
McCrory, AR 72101
Mailing address
PO Box 544
MC Crory, AR 72101-0544
Phone (870) 318-6592
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amanda.austin@arcare.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R100066 | AR | MD | Registered Nurse |
Practice roles
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567036800000",
"number": "1255989588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 544",
"city": "MC CRORY",
"state": "AR",
"postal_code": "721010544",
"telephone_number": "870-318-6592",
"fax_number": "870-731-5431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 NORTH EDMONDS",
"address_2": "801 NORTH EDMONDS",
"city": "MCCRORY",
"state": "AR",
"postal_code": "72101",
"telephone_number": "870-731-5411",
"fax_number": "870-731-5431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTIN",
"first_name": "AMANDA",
"middle_name": "MARIE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-29",
"last_updated": "2019-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AR",
"license": "R100066",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amanda.austin@arcare.net",
"affiliation": "N",
"address_1": "801 North Edmonds",
"address_2": "801 North Edmonds",
"city": "McCrory",
"state": "AR",
"country_code": "US",
"postal_code": "72101",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in McCrory, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.