Meredith A Gaines, APRN/CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A004880 Issued in AR

Practice address

630 Burnett Dr
Mountain Home, AR 72653-2941

Phone

(870) 425-6971

Fax

(870) 508-8908

NPI assigned

Aug 30, 2016

Last updated

May 17, 2023By 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

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

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.

• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1336695360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 BURNETT DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532941",
            "telephone_number": "870-425-6971",
            "fax_number": "870-508-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 BURNETT DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532941",
            "telephone_number": "870-425-6971",
            "fax_number": "870-508-8908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINES",
        "first_name": "MEREDITH",
        "middle_name": "A",
        "credential": "APRN/CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216935758",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://health.healow.com/rfm",
            "affiliation": "N",
            "endpointDescription": "Eclinical works Portal",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "MOUNTAIN HOME",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "MOUNTAIN HOME",
            "address_1": "630 Burnett Dr",
            "city": "Mountain Home",
            "state": "AR",
            "country_code": "US",
            "postal_code": "726532941",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://health.healow.com/rfm",
            "affiliation": "N",
            "endpointDescription": "Eclinicalworks Portal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "630 Burnett Dr",
            "city": "Mountain Home",
            "state": "AR",
            "country_code": "US",
            "postal_code": "726532941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brittney Woodward Frisby, M.D
• Mary Fry
• Melinda R. Fulton, LCSW LIC#1683-C AR
• Phyllis Jean Gabriel, QBHP
• Jessica Gadberry, MHPP
• Kaitlyn Marie Gaither, PT, DPT
• Galliant Ar LLC
• Nyx Gaona, QBHP
• Kaitlyn Elizabeth Gardner, QBHP
• William R Garner, CRNA

• Family Nurse Practitioner in Mountain Home, AR
• Providers in Mountain Home, 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 May 17, 2023; 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.