Active NPI
Arielle Holloway, NURSE PRACTITIONER
- Nurse Practitioner
- Conway, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 216223
- Practice address
- 655 Dave Ward Dr Ste 103
Conway, AR 72034-7145 - Phone
- (501) 209-4040
- Fax
- (501) 205-1776
- NPI assigned
- Jun 8, 2021
- Last updated
- Nov 8, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 216223 | AR | Primary |
| Registered Nurse | 163W00000X | R104399 | AR |
Addresses
Primary practice location
655 Dave Ward Dr Ste 103
Conway, AR 72034-7145
Mailing address
655 Dave Ward Dr Ste 103
Conway, AR 72034-7145
Phone (501) 209-4040
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
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1605 W Main St
Russellville, AR 72801-2719
Phone (501) 209-4040
655 Dave Ward Dr
Suite 103
Conway, AR 72034-7145
Phone (501) 209-4040
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R104399 | AR | MD | Registered Nurse |
| 216223 | AR | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Noydeen Sisters Medical Group & Clinics, Inc | Current | Accepting new patients |
Locations
655 Dave Ward Dr
Conway, AR 72034
Phone (501) 209-4040
655 Dave Ward Dr
Ste 103
Conway, AR 72034
Phone (501) 209-4040
1100 N University Ave
Ste 200
Little Rock, AR 72207
Phone (501) 209-4040
1605 W Main St
Russellville, AR 72801
Phone (479) 219-5008
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Conway, AR
- NPI 1285084038
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Conway Regional Medical Clinic-Vilonia
- Rural Health Clinic/Center
- Vilonia, AR
- NPI 1063798858
Hospital
-
- General Acute Care Hospital
- Conway, AR
- NPI 1497770424
-
dba Conway Regional Medical Clinic-Russellville
- Family Medicine Physician
- Russellville, AR
- NPI 1245729359
Hospital
-
dba Conway Regional Counseling Center
- Psychiatry Physician
- Conway, AR
- NPI 1730402249
Hospital
-
dba Mayflower Medical Clinic
- Rural Health Clinic/Center
- Mayflower, AR
- NPI 1851389605
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1487221537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 DAVE WARD DR STE 103",
"city": "CONWAY",
"state": "AR",
"postal_code": "720347145",
"telephone_number": "501-209-4040",
"fax_number": "501-205-1776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 DAVE WARD DR STE 103",
"city": "CONWAY",
"state": "AR",
"postal_code": "720347145",
"telephone_number": "501-209-4040",
"fax_number": "501-205-1776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLOWAY",
"first_name": "ARIELLE",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-08",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AR",
"license": "216223",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AR",
"license": "R104399",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.