Active NPI
Lydia Grace Fields, APRN,FNP-C
- Family Nurse Practitioner
- Springdale, AR
National Provider Identifier
1497348106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 213384
- Practice address
- 4077 Elm Springs Rd Ste 105
Springdale, AR 72762-3703 - Phone
- (479) 927-2100
- NPI assigned
- Feb 12, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 213384 | AR | Primary |
Addresses
Primary practice location
4077 Elm Springs Rd Ste 105
Springdale, AR 72762-3703
Mailing address
3048 N Quartz Dr
Fayetteville, AR 72704-5621
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Springdale | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 213384 | AR | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613088000000",
"number": "1497348106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3048 N QUARTZ DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727045621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4077 ELM SPRINGS RD STE 105",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727623703",
"telephone_number": "479-927-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIELDS",
"first_name": "LYDIA",
"middle_name": "GRACE",
"credential": "APRN,FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-12",
"last_updated": "2021-02-12",
"certification_date": "2021-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "213384",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Springdale",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Springdale",
"address_1": "4077 Elm Springs Rd Ste 105",
"city": "Springdale",
"state": "AR",
"country_code": "US",
"postal_code": "727623703",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.