Individual provider Active NPI

Ellen L Speak, APN

  • Nurse Practitioner
  • Earle, AR
National Provider Identifier
1285819227
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A01417 Issued in AR
Practice address
216 Arkansas St
Earle, AR 72331-2217
Phone
(870) 792-7676
Fax
(870) 394-4817
NPI assigned
Jan 9, 2008
Last updated
Mar 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A01417 AR Primary

Addresses

Primary practice location

216 Arkansas St
Earle, AR 72331-2217

Mailing address

900 N 7TH St
West Memphis, AR 72301-2001
Phone (870) 735-3842

Other practice location 1

452 Perkins Ext
Memphis, TN 38117-3808
Phone (901) 888-2646

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ellen.speak@eastarkan.eclinicaldirectplus.com

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
I20110228000150 AR Practitioner - Nurse Practitioner 6901824093 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Arkansas Family Health Center, IncGroup PAC ID 1052390390, shared by 12 NPIs, 30 clinicians

Practice addresses (Care Compare)

1008 W Main St
Marvell, AR 72366-9486
Phone (870) 735-3842

2000 W Broadway St
TRLR 1
West Memphis, AR 72301-3829
Phone (870) 733-6083

216 Arkansas St
Earle, AR 72331-2217
Phone (870) 792-7676

417 W Main St
Trumann, AR 72472-3116
Phone (870) 483-1025

605 N 2ND St
Healthy Partners
Blytheville, AR 72315-2034
Phone (870) 532-6001

900 N 7TH St
West Memphis, AR 72301-2001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7498TNMDDentist
A01417ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Arkansas Family Health Center, Inc CurrentSince Sep 24, 2019 Accepting new patients
East Arkansas Family Health Center, Inc CurrentSince Sep 24, 2019 Accepting new patients
East Arkansas Family Health Center Inc. CurrentSince Sep 24, 2019 Accepting new patients
East Arkansas Family Health Center Inc. CurrentSince Sep 24, 2019 Accepting new patients
East Arkansas Family Health Center, Inc CurrentSince Sep 24, 2019 Accepting new patients
East Arkansas Family Health Center Inc. CurrentSince Sep 24, 2019 Accepting new patients
Kidney Specialists, P.C. PastSince Feb 17, 2009 Accepting new patients

Locations

605 N 2nd St
Blytheville, AR 72315
Phone (870) 532-6001

216 Arkansas St
Earle, AR 72331
Phone (870) 792-7676

513 Porter St
Helena, AR 72342
Phone (870) 817-0122

102 W Broad St
Lepanto, AR 72354
Phone (870) 475-2977

1008 W Main St
Marvell, AR 72366
Phone (870) 735-3842

417 W Main St
Trumann, AR 72472
Phone (870) 483-1025

417 W Main St
#B
Trumann, AR 72472
Phone (870) 483-7039

2000 W Broadway St
Trlr 1
West Memphis, AR 72301
Phone (870) 733-6083

900 N 7th St
West Memphis, AR 72301
Phone (870) 735-3842

Interoperability endpoints

  • Direct secure messaging: ellen.speak@eastarkan.eclinicaldirectplus.com

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1285819227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N 7TH ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723012001",
            "telephone_number": "870-735-3842",
            "fax_number": "870-394-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 ARKANSAS ST",
            "city": "EARLE",
            "state": "AR",
            "postal_code": "723312217",
            "telephone_number": "870-792-7676",
            "fax_number": "870-394-4817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "452 Perkins Ext",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381173808",
            "country_code": "US",
            "telephone_number": "901-888-2646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPEAK",
        "first_name": "ELLEN",
        "middle_name": "L",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-09",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A01417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ellen.speak@eastarkan.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "900 N 7th St",
            "city": "West Memphis",
            "state": "AR",
            "country_code": "US",
            "postal_code": "723012001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Earle, AR

Sources for this page

Verify at the official NPI Registry.