Carolyn Nutter, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA117 Issued in AR

Practice address

1607 S Old Missouri Rd
Springdale, AR 72764-5723

Phone

(479) 463-4887

Fax

(479) 463-4886

NPI assigned

Jun 28, 2006

Last updated

Mar 28, 2016By the provider in NPPES

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Washington Regional Medical System

  dba Washington Regional Family Clinic - Springdale

  • Family Medicine Physician
  • Springdale, AR
  • NPI 1326376419
  Medicare reassignment NPD (past)
• Northwest Physicians LLC

  • Obstetrics Physician
  • Springdale, AR
  • NPI 1194768721
  NPD
• Washington Regional Medical System

  dba Washington Regional Family Clinic - Farmington

  • Family Medicine Physician
  • Farmington, AR
  • NPI 1275839011
  NPD
• Washington Regional Medical System

  dba Washington Regional Maternal Fetal Medicine Clinic

  • Maternal & Fetal Medicine Physician
  • Fayetteville, AR
  • NPI 1497323554
  NPD
• Medical Associates of Northwest Arkansas PA

  • Family Medicine Physician
  • Lowell, AR
  • NPI 1912883273
  NPD (past)
• Northwest Physicians LLC

  • Durable Medical Equipment & Medical Supplies
  • Springdale, AR
  • NPI 1205137536
  NPD (past)
• Washington Regional Medical Center

  • General Acute Care Hospital
  • Fayetteville, AR
  • NPI 1083609150
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1265469670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 S OLD MISSOURI RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727645723",
            "telephone_number": "479-463-4887",
            "fax_number": "479-463-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 S OLD MISSOURI RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727645723",
            "telephone_number": "479-463-4887",
            "fax_number": "479-463-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTTER",
        "first_name": "CAROLYN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Aleece Norton
• Deborah Norton, RN
• Nourish Psychiatry, P.L.L.C.
• Dawn Marie Novak, MHPP/BS
• Jason Andrew Nutt, MHPP
• Nuview Health Arkansas PLLC
• Nwa Christian Counseling Group, Inc. Dba Brookway Counseling (Brookway Counseling)
• Nwa Health & Rehab Center
• Nwa Hope and Healing, PLLC (Curt Matzenbacher, LPC, LMFT)
• Nwa Nursing Center, LLC (The Maples at Har-Ber Meadows)

• Physician Assistant in Springdale, AR
• Providers in Springdale, AR by specialty
• Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.