Individual provider Active NPI

Raluca Tudoreanu

  • Acute Care Nurse Practitioner
  • White Hall, AR
National Provider Identifier
1356849046
Registry record updated Jan 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
A005483 Issued in AR
Practice address
103 Frankie LN
White Hall, AR 71602-2685
Phone
(870) 247-6105
NPI assigned
Jan 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X A005483 AR Primary

Addresses

Primary practice location

103 Frankie LN
White Hall, AR 71602-2685

Mailing address

25 Westoak Cir
Little Rock, AR 72223-5221
Phone (501) 228-4438

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180530000889 AR Practitioner - Nurse Practitioner 2668737347 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Sleep and Pulmonary Center PLLC CurrentSince Apr 10, 2018 Accepting new patients

Locations

7240 Sheridan Rd
Ste 101
White Hall, AR 71602
Phone (870) 247-6105

103 Frankie Ln
White Hall, AR 71602
Phone (501) 397-2604

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1517011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517011200000",
    "number": "1356849046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WESTOAK CIR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722235221",
            "telephone_number": "501-228-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 FRANKIE LN",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716022685",
            "telephone_number": "870-247-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUDOREANU",
        "first_name": "RALUCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-27",
        "last_updated": "2018-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AR",
            "license": "A005483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Hall, AR

Sources for this page

Verify at the official NPI Registry.