Dahlia Distin, CNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

A004973 Issued in AR

Practice address

5401 JFK Ste I
North Little Rock, AR 72116-6740

Phone

(501) 758-9993

NPI assigned

Aug 14, 2009

Last updated

Jul 8, 2024By the provider in NPPES

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

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Arkansas Adult Psychotherapy Center PLLCGroup PAC ID 3173892148, 3 clinicians

Baxter County Regional Hospital IncGroup PAC ID 0042389264, 75 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baxter Health Hospital, Mountain Home, AR, CCN 040027

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dahlia.distin.1@24287.direct.athenahealth.com

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 Adult Psychotherapy Center, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • North Little Rock, AR
  • NPI 1669853081
  Medicare reassignment Care Compare group Authorized official
• Baxter County Regional Hospital, Inc.

  dba Baxter Health Family Clinic

  • Family Medicine Physician
  • Mountain Home, AR
  • NPI 1851725139

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Forefront-Rush Medical Services PC

  • Psychiatry Physician
  • Little Rock, AR
  • NPI 1588152649

  Single Specialty

  Medicare reassignment NPD
• Access Telecare, PLLC

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1013303080

  AR, Single Specialty

  Medicare reassignment NPD
• Baxter County Regional Hospital, Inc

  dba Baxter Health College Street Family Clinic

  • Family Medicine Physician
  • Mountain Home, AR
  • NPI 1316777329

  Single Specialty

  NPD
• Forefront-Crane Medical Services PC

  • Psychiatry Physician
  • Frankfort, IN
  • NPI 1932728334

  Single Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baxter County Regional Hospital Inc

  dba BRMC Professional Fees

  • General Acute Care Hospital
  • Mountain Home, AR
  • NPI 1033147921
  Care Compare affiliation
• Baxter County Regional Hospital, Inc

  dba Baxter Health

  • General Acute Care Hospital
  • Mountain Home, AR
  • NPI 1881788933
  Care Compare affiliation

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1346472941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 JFK STE I",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721166740",
            "telephone_number": "501-221-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 JFK STE I",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721166740",
            "telephone_number": "501-758-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISTIN",
        "first_name": "DAHLIA",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-14",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "A004973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dickerson Family Resource Center, LLC (Motivated Minds Counseling and Consulting)
• Cameisha Dickerson
• Tiffany Diemer, PHARM. D.
• Laura Leigh Dill, RD
• Joshua Daniel Dilley, M.D.
• Divine Medical Outreach Services
• Caesar S Divino, DPM
• Janette Lashay Dixon
• Keith Alan Dixon, MD
• Jennifer Stratton DO, MD

• Psychiatric/Mental Health Nurse Practitioner in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.