Active NPI
Ashlee Vanhouten, APRN
- Nurse Practitioner
- Clarendon, AR
National Provider Identifier
1306297965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- A004796
- Practice address
- 245 Madison St
Clarendon, AR 72029-2706 - Phone
- (870) 747-3381
- Fax
- (870) 747-3631
- NPI assigned
- Jun 24, 2016
- Last updated
- Nov 5, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A004796 | AR | Primary |
Addresses
Primary practice location
245 Madison St
Clarendon, AR 72029-2706
Mailing address
245 Madison St
Clarendon, AR 72029-2706
Phone (870) 747-3057
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201479729 | Medicaid | AR | |
| 201477729 | Medicaid | AR | |
| 201481729 | Medicaid | AR | |
| 203673729 | Medicaid | AR | |
| 201482729 | Medicaid | AR | |
| 201478729 | Medicaid | AR |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260216002830 | AR | Order and Referring Only - Nurse Practitioner | 8325329345 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572912000000",
"number": "1306297965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 MADISON ST",
"city": "CLARENDON",
"state": "AR",
"postal_code": "720292706",
"telephone_number": "870-747-3057",
"fax_number": "870-747-3631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 MADISON ST",
"city": "CLARENDON",
"state": "AR",
"postal_code": "720292706",
"telephone_number": "870-747-3381",
"fax_number": "870-747-3631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANHOUTEN",
"first_name": "ASHLEE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-24",
"last_updated": "2019-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AR",
"license": "A004796",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201479729",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201477729",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201481729",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203673729",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201482729",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201478729",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clarendon, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.