Individual provider Active NPI

Shannon Diane Hoey, APRN

  • Acute Care Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1376903823
Registry record updated Feb 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
A004682 Issued in AR
Practice address
5 Saint Vincent Cir
Suite 501
Little Rock, AR 72205-5412
Phone
(501) 666-2894
Fax
(501) 666-9017
NPI assigned
Feb 26, 2016
Last updated
Feb 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X A004682 AR Primary
Adult Health Nurse Practitioner 363LA2200X A004682 AR
Gerontology Nurse Practitioner 363LG0600X A004682 AR

Addresses

Primary practice location

5 Saint Vincent Cir
Suite 501
Little Rock, AR 72205-5412

Mailing address

5 Saint Vincent Cir
Suite 501
Little Rock, AR 72205-5412
Phone (501) 666-2894

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
I20170616002075 AR Practitioner - Nurse Practitioner 8921376880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4301 W Markam St
Little Rock, AR 72205-7101

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A004682ARMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Jul 5, 2019 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jul 5, 2019 Accepting new patients
University of Arkansas for Medical Sciences Current Accepting new patients
Watkins, Bauer & Meadors, P.a. PastSince May 7, 2017 Accepting new patients

Locations

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1376903823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SAINT VINCENT CIR",
            "address_2": "SUITE 501",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055412",
            "telephone_number": "501-666-2894",
            "fax_number": "501-666-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SAINT VINCENT CIR",
            "address_2": "SUITE 501",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055412",
            "telephone_number": "501-666-2894",
            "fax_number": "501-666-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEY",
        "first_name": "SHANNON",
        "middle_name": "DIANE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-26",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AR",
            "license": "A004682",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AR",
            "license": "A004682",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AR",
            "license": "A004682",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.