Individual provider Active NPI

Yvonne Paulette Couch, APRN

  • Pediatric Nurse Practitioner
  • Fayetteville, AR
National Provider Identifier
1447385398
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
A002973 Issued in AR
Practice address
3380 N Futrall Dr Ste 1
Fayetteville, AR 72703-4815
Phone
(479) 442-7322
Fax
(479) 442-7379
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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 A002973 AR Primary

Addresses

Primary practice location

3380 N Futrall Dr Ste 1
Fayetteville, AR 72703-4815

Mailing address

PO Box 1523
Fayetteville, AR 72702-1523
Phone (479) 571-6038

Other identifiers 1

IdentifierTypeStateIssuer
190172758MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address yvonne.couch@mana.eclinicaldirectplus.com Direct

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
I20160601001792 AR Practitioner - Nurse Practitioner 9032409107 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Northwest Arkansas PA CurrentSince Dec 30, 2022 Accepting new patients
Medical Associates of Northwest Arkansas, PA CurrentSince Dec 30, 2022 Accepting new patients
Medical Associates of Northwest Arkansas, PA Current Accepting new patients
Medical Associates of Northwest Arkansas PA Past Accepting new patients
Medical Associates of Northwest Arkansas PA Past Accepting new patients
Medical Associates of Northwest Arkansas PA Past Accepting new patients

Locations

3344 N Futrall Dr
Fayetteville, AR 72703
Phone (479) 582-7213

3383 N Mana Ct
Ste 101
Fayetteville, AR 72703
Phone (479) 442-7322

3380 N Futrall Dr
Ste 1
Fayetteville, AR 72703
Phone (479) 442-7322

3730 S Pinnacle Hills Pkwy
Ste 3
Rogers, AR 72758
Phone (479) 221-8902

Interoperability endpoints

  • Direct secure messaging: yvonne.couch@mana.eclinicaldirectplus.com

Organizations & group practices 6

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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1447385398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1523",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727021523",
            "telephone_number": "479-571-6038",
            "fax_number": "479-582-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 N FUTRALL DR STE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034815",
            "telephone_number": "479-442-7322",
            "fax_number": "479-442-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUCH",
        "first_name": "YVONNE",
        "middle_name": "PAULETTE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AR",
            "license": "A002973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190172758",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yvonne.couch@mana.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Provider's direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3380 N Futrall Dr Ste 1",
            "city": "Fayetteville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727034815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.