Individual provider Active NPI

Judy Franks Hines, APN

  • Gerontology Nurse Practitioner
  • Magnolia, AR
National Provider Identifier
1487804043
Registry record updated Sep 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
A01401 Issued in AR
Practice address
100 E University
Reynolds, Suite 215
Magnolia, AR 71753-2181
Phone
(870) 235-5237
Fax
(870) 235-6354
NPI assigned
Sep 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X A01401 AR Primary

Addresses

Primary practice location

100 E University
Reynolds, Suite 215
Magnolia, AR 71753-2181

Mailing address

100 E. University,
Reynolds, Suite 215
Magnolia, AR 71754-9210
Phone (870) 235-5237

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A01401ARMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Arkansas University 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221782400000",
    "number": "1487804043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E. UNIVERSITY,",
            "address_2": "REYNOLDS, SUITE 215",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717549210",
            "telephone_number": "870-235-5237",
            "fax_number": "870-235-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E UNIVERSITY",
            "address_2": "REYNOLDS, SUITE 215",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717532181",
            "telephone_number": "870-235-5237",
            "fax_number": "870-235-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "JUDY",
        "middle_name": "FRANKS",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-19",
        "last_updated": "2008-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AR",
            "license": "A01401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.