Still Waters Wellness LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

STILL WATERS WELLNESS LLC

Practice address

301 S Main St Ste D
Cave City, AR 72521-5010

Phone

(870) 613-2354

NPI assigned

May 17, 2023

Last updated

Jun 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Carla J Smith, APRNNPI 1962836213

Title

Owner

Phone

(870) 613-2354

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carla Jean Smith, APN

  • Acute Care Nurse Practitioner
  • Batesville, AR
  • NPI 1962836213

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD Authorized official
• Ellen Lavera Qualls, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Cave City, AR
  • NPI 1689819682
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1497446769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S MAIN ST STE D",
            "city": "CAVE CITY",
            "state": "AR",
            "postal_code": "725215010",
            "telephone_number": "870-613-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S MAIN ST STE D",
            "city": "CAVE CITY",
            "state": "AR",
            "postal_code": "725215010",
            "telephone_number": "870-613-2354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILL WATERS WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-613-2354",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendi Rush, OT-A
• Satterwhite Speech Services LLC
• Deana Simpson
• John Colin Smith, PTA
• Ashley Stephens, AAS
• Rhonda Strain
• Sarah Teague, APRN
• Kristen Townsend
• Stephanie Annette Townsley, RN
• Alexandra Lee Vericker, OT

• Psychiatric/Mental Health Nurse Practitioner in Cave City, AR
• Providers in Cave City, AR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.