Individual provider Active NPI

Romonda Tousant, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Alexander, AR
National Provider Identifier
1497419774
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R080980 Issued in AR
Practice address
13823 Harold Dr
Alexander, AR 72002-7293
Phone
(501) 838-6482
NPI assigned
Oct 24, 2021
Last updated
Oct 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R080980 AR Primary

Addresses

Primary practice location

13823 Harold Dr
Alexander, AR 72002-7293

Mailing address

13823 Harold Dr
Alexander, AR 72002-7293

Other identifiers 3

IdentifierTypeStateIssuer
2022039078OtherMOMISSOURI APRN LICENSE (PMHNP)
217980OtherARARKANSAS APRN LICENSE (PMHNP)
R080980OtherARARKANSAS RN LICENSE (MULTI-STATE)

Other names 1

  • Romonda King Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R080980ARMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eustasis Foundation, Inc PastSince Aug 30, 2020 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": "1635033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1497419774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13823 HAROLD DR",
            "city": "ALEXANDER",
            "state": "AR",
            "postal_code": "720027293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13823 HAROLD DR",
            "city": "ALEXANDER",
            "state": "AR",
            "postal_code": "720027293",
            "telephone_number": "501-838-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOUSANT",
        "first_name": "ROMONDA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-24",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "R080980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI APRN LICENSE (PMHNP)",
            "identifier": "2022039078",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS APRN LICENSE (PMHNP)",
            "identifier": "217980",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS RN LICENSE (MULTI-STATE)",
            "identifier": "R080980",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROMONDA",
            "last_name": "KING",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alexander, AR

Sources for this page

Verify at the official NPI Registry.