Individual provider Active NPI

Shawna Lynn Lasater, FNP

  • Primary Care Nurse Practitioner
  • Clinton, AR
National Provider Identifier
1285398131
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
217856 Issued in AR
Practice address
296 Ingram St Ste a
Clinton, AR 72031-7087
Phone
(501) 215-0318
Fax
(501) 200-5501
NPI assigned
Oct 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X R085008 AR
Primary Care Nurse Practitioner 363LP2300X 217856 AR Primary

Addresses

Primary practice location

296 Ingram St Ste a
Clinton, AR 72031-7087

Mailing address

296 Ingram St Ste a
Clinton, AR 72031-7087
Phone (501) 215-0318

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
I20230413002753 AR Practitioner - Nurse Practitioner 6103291638 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1065 Skyline Dr
Conway, AR 72032-3530
Phone (501) 499-6222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R085008ARMDEmergency Registered Nurse
217856ARMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amanda Steen FNP Inc CurrentSince Apr 5, 2023 Accepting new patients

Locations

3807 McCain Park Dr
Ste 103
North Little Rock, AR 72116
Phone (501) 771-4727

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFCFDD

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.

NPI Registry JSON

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1285398131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 INGRAM ST STE A",
            "city": "CLINTON",
            "state": "AR",
            "postal_code": "720317087",
            "telephone_number": "501-215-0318",
            "fax_number": "501-200-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 INGRAM ST STE A",
            "city": "CLINTON",
            "state": "AR",
            "postal_code": "720317087",
            "telephone_number": "501-215-0318",
            "fax_number": "501-200-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASATER",
        "first_name": "SHAWNA",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "AR",
            "license": "R085008",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AR",
            "license": "217856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, AR

Sources for this page

Verify at the official NPI Registry.