Active NPI
Bessie Smith
- Pediatric Nurse Practitioner
- Springdale, AR
National Provider Identifier
1437403235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- A005959
- Practice address
- 5203 Willow Creek Dr Ste 2
Springdale, AR 72762 - Phone
- (479) 575-9359
- NPI assigned
- Oct 31, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | A005959 | AR | Primary |
Addresses
Primary practice location
5203 Willow Creek Dr Ste 2
Springdale, AR 72762
Mailing address
10855 S Wedington Blacktop Rd
Lincoln, AR 72744-8532
Phone (423) 794-8794
Other names 1
- Bessie Freeman
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A005959 | AR | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saveritt Pediatrics PLLC | Single Specialty | Past | Accepting new patients |
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.
-
- Pediatric Adolescent Medicine Physician
- Springdale, AR
- NPI 1689182412
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1437403235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10855 S WEDINGTON BLACKTOP RD",
"city": "LINCOLN",
"state": "AR",
"postal_code": "727448532",
"telephone_number": "423-794-8794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5203 WILLOW CREEK DR STE 2",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "72762",
"telephone_number": "479-575-9359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "BESSIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-31",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AR",
"license": "A005959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BESSIE",
"last_name": "FREEMAN",
"credential": "RN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.