Active NPI
Natural State Behavioral Health
- Psychiatric/Mental Health Nurse Practitioner
- Hot Springs, AR
National Provider Identifier
1457968737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- NATURAL STATE BEHAVIORAL HEALTH
- Practice address
- 1401 Malvern Ave Ste 180
Hot Springs, AR 71901-6370 - Phone
- (501) 844-1902
- NPI assigned
- Sep 30, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erin Marie Holleman, APRN
- Title
- Owner/Nurse Practitioner
- Phone
- (501) 844-1902
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1401 Malvern Ave Ste 180
Hot Springs, AR 71901-6370
Mailing address
1402 Country Club Rd
Malvern, AR 72104-6342
Phone (501) 844-1902
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1401 Malvern Ave
Ste 100
Hot Springs, AR 71901
Phone (501) 844-1902
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Malvern, AR
- NPI 1801021696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1601424000000",
"number": "1457968737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 COUNTRY CLUB RD",
"city": "MALVERN",
"state": "AR",
"postal_code": "721046342",
"telephone_number": "501-844-1902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 MALVERN AVE STE 180",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719016370",
"telephone_number": "501-844-1902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATURAL STATE BEHAVIORAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-30",
"last_updated": "2020-09-30",
"certification_date": "2020-09-30",
"status": "A",
"authorized_official_last_name": "HOLLEMAN",
"authorized_official_first_name": "ERIN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
"authorized_official_telephone_number": "501-844-1902",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.