Individual provider Active NPI

Britni Cartillar, APRN

  • Family Nurse Practitioner
  • Wynne, AR
National Provider Identifier
1437526944
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004524 Issued in AR
Practice address
601 Julia Ave E
Wynne, AR 72396-3506
Phone
(870) 238-0377
Fax
(870) 238-5583
NPI assigned
Sep 1, 2015
Last updated
Apr 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A004524 AR Primary

Addresses

Primary practice location

601 Julia Ave E
Wynne, AR 72396-3506

Mailing address

PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2534

Other identifiers 1

IdentifierTypeStateIssuer
211924758MedicaidAR

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
I20160414000233 AR Practitioner - Nurse Practitioner 1658679394 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
Phillips Clinic Company, LLCGroup PAC ID 3870576259, 2 clinicians

Practice addresses (Care Compare)

15 N Poplar St
Phillips Clinic Corp
Marianna, AR 72360-2318
Phone (870) 295-3430

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Phillips Clinic Company, LLC CurrentSince Apr 23, 2018 Accepting new patients
Phillips Clinic Company, LLC CurrentSince Apr 23, 2018 Accepting new patients

Locations

1801 Martin Luther King Jr Dr
Helena, AR 72342
Phone (870) 338-5800

1803 Martin Luther King Jr Dr
Ste A
Helena, AR 72342
Phone (870) 338-7441

15 N Poplar St
Marianna, AR 72360
Phone (870) 295-3430

Interoperability endpoints

  • Direct secure messaging: britni.cartillar.1@1590.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1590/brand/1/csg/81/fhir/r4

Organizations & group practices 2

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 2

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": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1437526944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720060497",
            "telephone_number": "870-347-2534",
            "fax_number": "870-347-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 JULIA AVE E",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723963506",
            "telephone_number": "870-238-0377",
            "fax_number": "870-238-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTILLAR",
        "first_name": "BRITNI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-01",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211924758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynne, AR

Sources for this page

Verify at the official NPI Registry.