Active NPI
Sakinah A. Shaw, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Hot Springs, AR
National Provider Identifier
1437856820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 222060
- Practice address
- 1820 Central Ave Ste F
Hot Springs, AR 71901-6898 - Phone
- (833) 479-4325
- Fax
- (833) 464-3107
- NPI assigned
- Feb 15, 2023
- Last updated
- Sep 10, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 222060 | AR | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 222060 | AR | Primary |
Addresses
Primary practice location
1820 Central Ave Ste F
Hot Springs, AR 71901-6898
Mailing address
1820 Central Ave Ste F
Hot Springs, AR 71901-6898
Phone (833) 479-4325
Other practice location 1
105 N 1st St
Augusta, AR 72006-2307
Phone (870) 731-1063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 298940758 | Medicaid | AR |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230802000897 | AR | Practitioner - Nurse Practitioner | 8921469347 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2600 W Main St
Russellville, AR 72801-2535
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 222060 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Connections Inc | Past | Accepting new patients |
Interoperability endpoints
- sakinah.shaw.1@26646.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Malvern, AR
- NPI 1003282070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1437856820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 CENTRAL AVE STE F",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719016898",
"telephone_number": "833-479-4325",
"fax_number": "833-464-3107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 CENTRAL AVE STE F",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719016898",
"telephone_number": "833-479-4325",
"fax_number": "833-464-3107"
}
],
"practiceLocations": [
{
"address_1": "105 N 1st St",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "AR",
"postal_code": "720062307",
"country_code": "US",
"telephone_number": "870-731-1063",
"fax_number": "870-731-1064",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAW",
"first_name": "SAKINAH",
"middle_name": "A.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-15",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "222060",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AR",
"license": "222060",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "298940758",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hot Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.