Organization Active NPI

Natural State Behavioral Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Hot Springs, AR
National Provider Identifier
1457968737
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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

Updated by the provider on Sep 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Erin Marie Holleman, APRNNPI 1801021696
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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20210215000372 AR Part B Supplier - Clinic/Group Practice 5698185114 Receives reassigned benefits from 1 practitioner
Practice locations: Hot Springs, AR

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.