Individual provider Active NPI

Allison Tiner, APRN

  • Family Nurse Practitioner
  • Clinton, AR
National Provider Identifier
1285094052
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004690 Issued in AR
Practice address
2526 Highway 65 S Ste 203
Clinton, AR 72031-6678
Phone
(501) 745-4914
Fax
(501) 745-6374
NPI assigned
Mar 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A004690 AR Primary

Addresses

Primary practice location

2526 Highway 65 S Ste 203
Clinton, AR 72031-6678

Mailing address

PO Box 9662
Conway, AR 72033-9662
Phone (501) 852-1363

Other identifiers 1

IdentifierTypeStateIssuer
A004690OtherARCERTIFIED NURSE PRACTITIONER LICENSE NUMBER

Other names 1

  • Allison Wilson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2526 Hwy 65 S
Clinton, AR 72031-6678
Phone (501) 745-4914

2526 Hwy 65 S 204
Conway Regional Surgical Associates
Clinton, AR 72031-6678
Phone (501) 745-9788

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A004690ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Regional Medical Center Inc Current Accepting new patients
Conway Regional Medical Center, Inc Past Accepting new patients
Conway Regional Medical Center Inc Past Accepting new patients

Locations

2526 Highway 65 S
Ste 203
Clinton, AR 72031
Phone (501) 745-4914

1 Medical Ln
Conway, AR 72034
Phone (501) 329-2948

437 Denison St
Ste 2
Conway, AR 72034
Phone (501) 504-2330

525 Western Ave
Ste 203
Conway, AR 72034
Phone (501) 327-4828

437 Denison St
Conway, AR 72034
Phone (501) 327-1325

1700 Altus St
Ste 110
Conway, AR 72032
Phone (501) 852-1366

110 N Broadview St
Greenbrier, AR 72058
Phone (501) 679-3551

606 Highway 365
Mayflower, AR 72106
Phone (501) 358-6905

108 Skyline Dr
Russellville, AR 72801
Phone (479) 968-7170

1159 Main St
Vilonia, AR 72173
Phone (501) 796-2791

Organizations & group practices 3

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 7

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": "1457308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1285094052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9662",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720339662",
            "telephone_number": "501-852-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2526 HIGHWAY 65 S STE 203",
            "city": "CLINTON",
            "state": "AR",
            "postal_code": "720316678",
            "telephone_number": "501-745-4914",
            "fax_number": "501-745-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINER",
        "first_name": "ALLISON",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-07",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED NURSE PRACTITIONER LICENSE NUMBER",
            "identifier": "A004690",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "WILSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clinton, AR

Sources for this page

Verify at the official NPI Registry.