Active NPI
Wyatt Morgan Pate
- Student in an Organized Health Care Education/Training Program
- Judsonia, AR
National Provider Identifier
1306741491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 173 Arnold Rd
Judsonia, AR 72081-9303 - Phone
- (870) 668-6123
- NPI assigned
- Oct 9, 2026
- Last updated
- Oct 9, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | AR | Primary |
Addresses
Primary practice location
173 Arnold Rd
Judsonia, AR 72081-9303
Mailing address
173 Arnold Rd
Judsonia, AR 72081-9303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791504000000",
"number": "1306741491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 ARNOLD RD",
"city": "JUDSONIA",
"state": "AR",
"postal_code": "720819303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 ARNOLD RD",
"city": "JUDSONIA",
"state": "AR",
"postal_code": "720819303",
"telephone_number": "870-668-6123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATE",
"first_name": "WYATT",
"middle_name": "MORGAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-10-09",
"last_updated": "2026-10-09",
"certification_date": "2026-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "AR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Judsonia, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.