Amber Lynn Hall, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LTP-010732 Issued in AR

Practice address

889 Main St
Melbourne, AR 72556-8205

Phone

(870) 368-4587

Fax

(870) 368-4587

NPI assigned

Feb 25, 2020

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1306470786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 967",
            "city": "MELBOURNE",
            "state": "AR",
            "postal_code": "725560967",
            "telephone_number": "870-368-4587",
            "fax_number": "870-368-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "889 MAIN ST",
            "city": "MELBOURNE",
            "state": "AR",
            "postal_code": "725568205",
            "telephone_number": "870-368-4587",
            "fax_number": "870-368-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "AMBER",
        "middle_name": "LYNN",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AR",
            "license": "LTP-010732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Goins, RECOVERY ASSISTANT
• Tara Michele Goodson, LPTA
• Gray Family Practice Clinic, PLLC
• Adam C Gray, MD
• Dawn Marie Hale, COTA
• Laramie Hall, OTR/L
• Haley Hardaway
• Sheri Razer Harris, MCD, CCC-SLP
• Health Resources of Arkansas, Inc.
• Tammy Hoskinds, RN

• All providers in Melbourne, AR
• Licensed Practical Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.