NPIMap

Individual provider Active NPI

Adrienne Friedly, APN

  • Nurse Practitioner
  • Searcy, AR
National Provider Identifier
1407170889
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A03328 Issued in AR
Practice address
1115 S Main St
Searcy, AR 72143-7318
Phone
(501) 712-2571
Fax
(501) 404-7789
NPI assigned
Mar 15, 2010
Last updated
Apr 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A03328 AR Primary

Addresses

Primary practice location

1115 S Main St
Searcy, AR 72143-7318

Mailing address

108 N Shackleford Rd
Little Rock, AR 72211-2840
Phone (501) 712-2571

Other practice location 1

108 N Shackleford Rd
Little Rock, AR 72211-2840
Phone (501) 712-2571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100610000807 AR Practitioner - Nurse Practitioner 3072643428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

403 S Poplar St
Suite a
Searcy, AR 72143-6000
Phone (501) 773-6993

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A03328ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Treatment Centers of America PLLC CurrentSince May 1, 2018 Accepting new patients
Pain Treatment Centers of America, PLLC CurrentSince May 1, 2018 Accepting new patients
Icarepro of Texas, PA PastSince May 1, 2014 Accepting new patients
Pain Treatment Centers of America, PLLC Past Accepting new patients
White County Urgent Care Past Accepting new patients
Hurley Chiropractic Clinic PastSince May 1, 2015 Accepting new patients
Dewey R McAfee DO PA Past Accepting new patients

Locations

1215 Sidney St
Batesville, AR 72501
Phone (870) 262-1541

1700 Harrison St
Ste T
Batesville, AR 72501
Phone (870) 262-3280

108 N Shackleford Rd
Little Rock, AR 72211
Phone (501) 346-8116

4020 Richards Rd
Ste A
North Little Rock, AR 72117
Phone (501) 900-8763

1115 S Main St
Searcy, AR 72143
Phone (501) 255-0410

118 Central Ave
Searcy, AR 72143
Phone (501) 305-3305

403 S Poplar St
Ste A
Searcy, AR 72143
Phone (501) 279-7955

Organizations & group practices 7

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1407170889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N SHACKLEFORD RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112840",
            "telephone_number": "501-712-2571",
            "fax_number": "501-404-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 S MAIN ST",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721437318",
            "telephone_number": "501-712-2571",
            "fax_number": "501-404-7789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 N Shackleford Rd",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722112840",
            "country_code": "US",
            "telephone_number": "501-712-2571",
            "fax_number": "501-404-7789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIEDLY",
        "first_name": "ADRIENNE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-15",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A03328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

Verify at the official NPI Registry.