Active NPI
Shyanne Faith Price, PA
- Physician Assistant
- North Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA1045
- Practice address
- 4020 Richards Rd Ste a
North Little Rock, AR 72117-2744 - Phone
- (844) 215-0731
- Fax
- (501) 404-7789
- NPI assigned
- Feb 8, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA1045 | AR | Primary |
Addresses
Primary practice location
4020 Richards Rd Ste a
North Little Rock, AR 72117-2744
Mailing address
3321 S Bowman Rd Apt 617
Little Rock, AR 72211-4675
Phone (501) 712-2571
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2710 S Rife Medical LN
Rogers, AR 72758-1452
Phone (479) 636-0200
3101 SE 14TH St
Bentonville, AR 72712-4900
Phone (479) 631-2100
Hospital & facility affiliations
- Mercy Hospital Northwest Arkansas
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA1045 | AR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Treatment Centers of America, PLLC | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients |
Locations
1215 Sidney St
Batesville, AR 72501
Phone (870) 262-1541
3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100
108 N Shackleford Rd
Little Rock, AR 72211
Phone (501) 346-8116
4020 Richards Rd
Ste A
North Little Rock, AR 72117
Phone (501) 900-8763
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Rogers, AR
- NPI 1265490916
-
- Multi-Specialty Clinic/Center
- Little Rock, AR
- NPI 1841619731
-
- Endocrinology, Diabetes & Metabolism Physician
- Rogers, AR
- NPI 1699016774
-
- Endocrinology, Diabetes & Metabolism Physician
- Rogers, AR
- NPI 1770087371
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rogers, AR
- NPI 1316902414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1447904503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3321 S BOWMAN RD APT 617",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114675",
"telephone_number": "501-712-2571",
"fax_number": "501-404-7789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4020 RICHARDS RD STE A",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721172744",
"telephone_number": "844-215-0731",
"fax_number": "501-404-7789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "SHYANNE",
"middle_name": "FAITH",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-08",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AR",
"license": "PA1045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.