NPIMap

Individual provider Active NPI

Brittany Elizabeth Mauldin, APRN

  • Family Nurse Practitioner
  • Conway, AR
National Provider Identifier
1487329843
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
215161 Issued in AR
Practice address
2125 Robinson Ave
Conway, AR 72034-4940
Phone
(501) 358-6700
Fax
(501) 358-6733
NPI assigned
Aug 9, 2021
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 215161 AR Primary

Addresses

Primary practice location

2125 Robinson Ave
Conway, AR 72034-4940

Mailing address

2125 Robinson Ave
Conway, AR 72034-4940
Phone (501) 358-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220429000197 AR Practitioner - Nurse Practitioner 7315334992 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William H. Freeman, M.D., P.a.Group PAC ID 2668505215, 6 clinicians

Practice addresses (Care Compare)

2125 Robinson Ave
Conway, AR 72034-4940
Phone (501) 358-6700

600 Club LN
Conway, AR 72034-3624
Phone (501) 327-0110

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
215161ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Condren Family Nutrition Current Accepting new patients
Healogics Specialty Physicians of Arkansas, PLLC CurrentSince May 1, 2022 Accepting new patients
William H Freeman, MD PA CurrentSince Oct 1, 2023 Accepting new patients
Conway Regional Medical Center Inc PastSince Sep 15, 2024 Accepting new patients
Healogics Specialty Physicians of Missouri, LLC Past Accepting new patients

Locations

2125 Robinson Ave
Conway, AR 72034
Phone (501) 358-6700

2200 Ada Ave
Ste 205
Conway, AR 72034
Phone (501) 268-2185

600 Club Ln
Conway, AR 72034
Phone (501) 327-0110

3017 N Bob Younkin Dr
Ste 102
Fayetteville, AR 72703
Phone (479) 463-4325

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

Organizations & group practices 5

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1487329843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 ROBINSON AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720344940",
            "telephone_number": "501-358-6700",
            "fax_number": "501-358-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 ROBINSON AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720344940",
            "telephone_number": "501-358-6700",
            "fax_number": "501-358-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAULDIN",
        "first_name": "BRITTANY",
        "middle_name": "ELIZABETH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-09",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "215161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.