Individual provider Active NPI

Shuna Hammonds-Thomas, APRN

  • Pediatric Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1427136969
Registry record updated Nov 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
A01741 Issued in AR
Practice address
25 Rahling Cir Ste C1
Little Rock, AR 72223-6000
Phone
(501) 952-6868
Fax
(501) 868-7365
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X A01741 AR Primary

Addresses

Primary practice location

25 Rahling Cir Ste C1
Little Rock, AR 72223-6000

Mailing address

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone (210) 539-9582

Other practice location 1

29 Clervaux Dr
Little Rock, AR 72223-5510
Phone (501) 952-6868

Other identifiers 2

IdentifierTypeStateIssuer
P00426104OtherARRAILROAD MEDICARE
157495758MedicaidAR

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A01741ARMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hammonds Harmony Care CurrentSince Nov 14, 2017 Accepting new patients

Locations

25 Rahling Cir
Ste C1
Little Rock, AR 72223
Phone (501) 952-6868

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16351/brand/1/csg/1/fhir/r4

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667606400000",
    "number": "1427136969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-539-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 RAHLING CIR STE C1",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722236000",
            "telephone_number": "501-952-6868",
            "fax_number": "501-868-7365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 CLERVAUX DR",
            "address_purpose": "LOCATION",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722235510",
            "country_code": "US",
            "telephone_number": "501-952-6868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMONDS-THOMAS",
        "first_name": "SHUNA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-11-05",
        "certification_date": "2022-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AR",
            "license": "A01741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00426104",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157495758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2022; 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.