Active NPI
Mary Emily Featherstone
- Physician Assistant
- Siloam Springs, AR
National Provider Identifier
1487110573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 451 S Holly St
Siloam Springs, AR 72761-3018 - Phone
- (479) 549-3079
- Fax
- (479) 549-3275
- NPI assigned
- Feb 14, 2019
- 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 | Primary |
Addresses
Primary practice location
451 S Holly St
Siloam Springs, AR 72761-3018
Mailing address
451 S Holly St
Siloam Springs, AR 72761-3018
Phone (479) 549-3079
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rural Primary Care South-Walton, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
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- Santa Rosa Beach, FL
- NPI 1912545955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1487110573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 S HOLLY ST",
"city": "SILOAM SPRINGS",
"state": "AR",
"postal_code": "727613018",
"telephone_number": "479-549-3079",
"fax_number": "479-549-3275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 S HOLLY ST",
"city": "SILOAM SPRINGS",
"state": "AR",
"postal_code": "727613018",
"telephone_number": "479-549-3079",
"fax_number": "479-549-3275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEATHERSTONE",
"first_name": "MARY",
"middle_name": "EMILY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-14",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Siloam Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.