NPIMap

Organization Active NPI

Access Healthcare, LLC

  • Family Nurse Practitioner
  • Pine Bluff, AR
National Provider Identifier
1386826485
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ACCESS HEALTHCARE, LLC
Practice address
2302 W 28TH Ave Ste a
Ste a
Pine Bluff, AR 71603-5081
Phone
(870) 536-3279
Fax
(870) 536-3283
NPI assigned
Nov 29, 2007
Last updated
Jul 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Authorized official

Name
Mr. John T. Skowronski, MDNPI 1598866105
Title
Owner
Phone
(501) 371-0582

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

2302 W 28TH Ave Ste a
Ste a
Pine Bluff, AR 71603-5081

Mailing address

PO Box 20128
White Hall, AR 71612-0128
Phone (870) 536-3279

Other names 1

  • Easy Access Healthcare Medical Clinic Other name

National Provider Directory

National Provider Directory

Locations

2302 W 28th Ave
Ste A
Pine Bluff, AR 71603
Phone (870) 536-1400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3270/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1386826485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20128",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716120128",
            "telephone_number": "870-536-3279",
            "fax_number": "870-536-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 W 28TH AVE STE A",
            "address_2": "STE A",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716035081",
            "telephone_number": "870-536-3279",
            "fax_number": "870-536-3283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "SKOWRONSKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-371-0582",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Easy Access Healthcare Medical Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pine Bluff, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.