Individual provider Active NPI

Danielle Renae Owens, APRN

  • Family Nurse Practitioner
  • Magnolia, AR
National Provider Identifier
1467950501
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A005458 Issued in AR
Practice address
211 E Stadium
Magnolia, AR 71753-2032
Phone
(870) 234-5995
NPI assigned
Jan 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X A005458 AR
Family Nurse Practitioner 363LF0000X A005458 AR Primary

Addresses

Primary practice location

211 E Stadium
Magnolia, AR 71753-2032

Mailing address

20 Columbia Road 525
Magnolia, AR 71753-8808
Phone (870) 949-2718

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
I20180221002917 AR Practitioner - Nurse Practitioner 6901167584 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1010 N Ctr St
Lonoke, AR 72086-2005
Phone (501) 438-8075

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A005458ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley Bibb MD PLLC CurrentSince Sep 1, 2022 Accepting new patients
Urgent Care Associates LLC CurrentSince Jun 10, 2018 Accepting new patients
Bradley Bibb MD PLLC CurrentSince Sep 1, 2022 Accepting new patients
Access Medical Clinic Arkansas LLC CurrentSince Sep 1, 2022 Accepting new patients
Bradley Bibb MD PLLC Current Accepting new patients
Access Medical Clinic Arkansas LTC LLC CurrentSince Dec 15, 2023 Accepting new patients
Access Medical Clinic Arkansas LTC LLC CurrentSince Dec 15, 2023 Accepting new patients

Locations

871 W Main St
Booneville, AR 72927
Phone (479) 675-4100

104 W State St
Caraway, AR 72419
Phone (870) 565-9205

704 Main Ave
Dierks, AR 71833
Phone (870) 455-1172

2280 E Main St
El Dorado, AR 71730
Phone (870) 444-5216

806 E Main St
Flippin, AR 72634
Phone (870) 219-7706

16723 Highway 62
Garfield, AR 72732
Phone (870) 219-7706

1713 W Main St
Heber Springs, AR 72543
Phone (501) 250-2020

405 W 16th St
Hope, AR 71801
Phone (870) 777-0007

211 E Stadium
Magnolia, AR 71753
Phone (870) 234-5995

810 S Rock St
Sheridan, AR 72150
Phone (870) 917-2289

3809 E 9th St
Ste 15
Texarkana, AR 71854
Phone (870) 621-0080

9798 Highway 62 W
Viola, AR 72583
Phone (870) 458-6732

106 N Van Buren St
Weiner, AR 72479
Phone (870) 605-0014

451 Phillips St
West Fork, AR 72774
Phone (479) 294-6085

Organizations & group practices 9

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": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1467950501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 COLUMBIA ROAD 525",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717538808",
            "telephone_number": "870-949-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E STADIUM",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717532032",
            "telephone_number": "870-234-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "DANIELLE",
        "middle_name": "RENAE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AR",
            "license": "A005458",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, AR

Sources for this page

Verify at the official NPI Registry.