Individual provider Active NPI

Shannon Golden, APN

  • Family Nurse Practitioner
  • Danville, AR
National Provider Identifier
1437698735
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A005040 Issued in AR
Practice address
719 Detroit Ave
Danville, AR 72833-9607
Phone
(479) 495-2241
NPI assigned
Feb 20, 2017
Last updated
Feb 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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 A005040 AR Primary

Addresses

Primary practice location

719 Detroit Ave
Danville, AR 72833-9607

Mailing address

719 Detroit Ave
Danville, AR 72833-9607

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
I20170331000820 AR Practitioner - Nurse Practitioner 4082999198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

102 N Garfield Ave
Plainview Medical Clinic
Plainview, AR 72857-0001
Phone (479) 272-4236

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.36 of 100Reported as group
Quality
65.03
Promoting interoperability
99
Improvement activities
40
Cost
76.57

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
John Ed Chambers Memorial Hospital, Inc. CurrentSince Mar 1, 2017 Accepting new patients
John Ed Chambers Memorial Hospital, Inc CurrentSince Mar 1, 2017 Accepting new patients
John Ed Chambers Memorial Hospital, Inc Past Accepting new patients
John Ed Chambers Memorial Hospital Past Accepting new patients

Locations

719 Detroit Ave
Danville, AR 72833
Phone (479) 495-2241

102 N Garfield Ave
Plainview, AR 72857
Phone (479) 272-4236

Interoperability endpoints

  • Direct secure messaging: shannon.golden@cmc.eclinicaldirectplus.com

Organizations & group practices 4

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 5

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": "1487548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1437698735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 DETROIT AVE",
            "city": "DANVILLE",
            "state": "AR",
            "postal_code": "728339607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 DETROIT AVE",
            "city": "DANVILLE",
            "state": "AR",
            "postal_code": "728339607",
            "telephone_number": "479-495-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "SHANNON",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, AR

Sources for this page

Verify at the official NPI Registry.