Amanda Stark

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A005801 Issued in AR

Practice address

123 Audubon Dr Ste 600
Maumelle, AR 72113-5506

Phone

(501) 803-9481

NPI assigned

Oct 24, 2018

Last updated

Oct 24, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amanda.stark.1@17584.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/17584/brand/1/csg/1/fhir/r4

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.

• Arkansas Family Medicine PA

  • Family Medicine Physician
  • Little Rock, AR
  • NPI 1902340052
  Medicare reassignment NPD

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1316414642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3423 N MAGNOLIA ST",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721168705",
            "telephone_number": "985-640-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 AUDUBON DR STE 600",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721135506",
            "telephone_number": "501-803-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sleep Partners LLC
• Sleep Partners LLC (Sleep Management Services, Inc)
• Nathan Joseph Slinkard, MS, RD, LD
• Marian L. Smith, PHD
• Laura Nicole Stallings, APRN
• Kamron Steed, PMHNP-BC
• Stepping Stones Therapy Services
• Cindy M Stone, APRN
• Stonehaven Assisted Living, LLC
• Shauna Storey, LPN

• Family Nurse Practitioner in Maumelle, AR
• Providers in Maumelle, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.

Verify at the official NPI Registry.