Individual provider Active NPI

Blake Towell, APRN

  • Family Nurse Practitioner
  • North Little Rock, AR
National Provider Identifier
1275061657
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A006085 Issued in AR
Practice address
2504 McCain Blvd Ste 101
North Little Rock, AR 72116
Phone
(501) 406-7640
Fax
(501) 319-7227
NPI assigned
May 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A006085 AR Primary
Registered Nurse 163W00000X R089860 AR

Addresses

Primary practice location

2504 McCain Blvd Ste 101
North Little Rock, AR 72116

Mailing address

2504 McCain Blvd Ste 101
North Little Rock, AR 72116-7669
Phone (501) 406-7640

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
I20190225001855 AR Practitioner - Nurse Practitioner 4789923418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Martin Knee and Sports Medicine Center, PAGroup PAC ID 5991853285, 9 clinicians

Practice addresses (Care Compare)

2504 McCain Blvd
Suite 101
North Little Rock, AR 72116-7669
Phone (501) 975-5633

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R089860ARMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Knee and Sports Medicine Center, PA CurrentSince Jan 30, 2019 Accepting new patients
Martin Knee and Sports Medicine Center, PA CurrentSince Jan 30, 2019 Accepting new patients

Locations

5320 W Markham St
Little Rock, AR 72205
Phone (501) 975-5633

2504 McCain Blvd
Ste 101
North Little Rock, AR 72116
Phone (501) 975-5633

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1275061657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 MCCAIN BLVD STE 101",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167669",
            "telephone_number": "501-406-7640",
            "fax_number": "501-319-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 MCCAIN BLVD STE 101",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "72116",
            "telephone_number": "501-406-7640",
            "fax_number": "501-319-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWELL",
        "first_name": "BLAKE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-30",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A006085",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R089860",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.