Monique Thammavong, APRN, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A004175 Issued in AR

Practice address

209 Pointer TRL W Ste a
Van Buren, AR 72956-2238

Phone

(479) 474-1100

Fax

(479) 471-1335

NPI assigned

Aug 15, 2014

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baptist Health ServicesGroup PAC ID 0648514133, 103 clinicians

Urgent Team of Arkansas Physicians LLCGroup PAC ID 1850539198, 155 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adoration Home Health Home health agency, Van Buren, AR, CCN 047010
• Kindred at Home 1 Home health agency, Fort Smith, AR, CCN 047038
• Baptist Health - Fort Smith Hospital, Fort Smith, AR, CCN 040055
• Baptist Health - Van Buren Hospital, Van Buren, AR, CCN 040018
• Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114
• Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mthammavong232853@direct.baptist-healthar.org
• Direct secure messaging: monique.thammavong@398008301912068.direct.elationemr.com

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.

• Baptist Health Services

  • Foot & Ankle Surgery Podiatrist
  • Fort Smith, AR
  • NPI 1922587690

  AR

  Medicare reassignment Care Compare group NPD
• Urgent Team of Arkansas Physicians, LLC

  • Rural Health Clinic/Center
  • Searcy, AR
  • NPI 1992041370

  AR

  Medicare reassignment Care Compare group NPD
• Baptist Health Services

  • Family Medicine Physician
  • Fort Smith, AR
  • NPI 1750856043
  Care Compare group NPD
• Urgent Team of Arkansas Physicians, LLC

  • Rural Health Clinic/Center
  • Batesville, AR
  • NPI 1326730466
  Care Compare group NPD
• Urgent Team of Arkansas Physicians, LLC

  • Rural Health Clinic/Center
  • Wynne, AR
  • NPI 1386377083
  Care Compare group
• Urgent Team of Arkansas Physicians, LLC

  • Rural Health Clinic/Center
  • Harrison, AR
  • NPI 1477286177
  Care Compare group
• Urgent Team of Arkansas Physicians, LLC

  • Rural Health Clinic/Center
  • Searcy, AR
  • NPI 1972280022
  Care Compare group

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

• Amedisys Arkansas, LLC

  • Home Health Agency
  • Van Buren, AR
  • NPI 1346208758
  Care Compare affiliation
• Baptist Health

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1043240682

  Hospital

  Care Compare affiliation
• Baptist Health Regional Hospitals

  • General Acute Care Hospital
  • Van Buren, AR
  • NPI 1154807584

  Hospital

  Care Compare affiliation
• Baptist Health Regional Hospitals

  • General Acute Care Hospital
  • Fort Smith, AR
  • NPI 1710463146

  Hospital

  Care Compare affiliation
• Centerwell Certified Healthcare Corp.

  • Home Health Agency
  • Fort Smith, AR
  • NPI 1619909884
  Care Compare affiliation
• Mercy Hospital Fort Smith

  • General Acute Care Hospital
  • Fort Smith, AR
  • NPI 1568433480

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1275932253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 EXECUTIVE CENTER DR STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114393",
            "telephone_number": "479-474-1100",
            "fax_number": "479-471-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 POINTER TRL W STE A",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729562238",
            "telephone_number": "479-474-1100",
            "fax_number": "479-471-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAMMAVONG",
        "first_name": "MONIQUE",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-15",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Van Buren, AR
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.