Individual provider Active NPI

Nichole Bradshaw Flemens

  • School Registered Nurse
  • Magnolia, AR
National Provider Identifier
1366364689
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
R091717 Issued in AR
Practice address
1501 Pittman Rd
Magnolia, AR 71753-3258
Phone
(870) 234-3511
NPI assigned
Jul 28, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X R091717 AR Primary

Addresses

Primary practice location

1501 Pittman Rd
Magnolia, AR 71753-3258

Mailing address

137 Columbia Road 145
Magnolia, AR 71753-9268
Phone (870) 234-3511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1366364689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 COLUMBIA ROAD 145",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717539268",
            "telephone_number": "870-234-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 PITTMAN RD",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717533258",
            "telephone_number": "870-234-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMENS",
        "first_name": "NICHOLE",
        "middle_name": "BRADSHAW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AR",
            "license": "R091717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.