Individual provider Active NPI

Dianna L Owen, MSN, RN, ARNP, FNP-B

  • Family Nurse Practitioner
  • Horseshoe Bend, AR
National Provider Identifier
1548255441
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2011005104 Issued in MO
Practice address
805 Third St
Horseshoe Bend, AR 72512-3736
Phone
(870) 670-4861
NPI assigned
Sep 16, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X R69636 AR
Family Nurse Practitioner 363LF0000X 2011005104 MO Primary

Addresses

Primary practice location

805 Third St
Horseshoe Bend, AR 72512-3736

Mailing address

PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2534

Other practice location 1

2600 Independence Sq
West Plains, MO 65775-4233
Phone (417) 255-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130726000708 MO Practitioner - Nurse Practitioner 5092756569 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R69636ARMDLicensed Practical Nurse
2011005104MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ozarks Medical Center CurrentSince May 25, 2013 Accepting new patients
Ozarks Medical Center CurrentSince May 25, 2013 Accepting new patients
Preferred Medical Associates LLC Family Past Accepting new patients

Locations

623 N 9th St
#40
Augusta, AR 72006

805 Third St
Horseshoe Bnd, AR 72512
Phone (870) 670-4861

17 Medical Plz
Mountain Home, AR 72653
Phone (870) 425-6212

628 Hospital Dr
Ste A
Mountain Home, AR 72653
Phone (501) 425-4402

1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959

2600 Independence Sq
West Plains, MO 65775
Phone (417) 256-1774

Interoperability endpoints

  • Direct secure messaging: diannaowen@omcmo.allscriptsdirect.net

Organizations & group practices 3

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": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1548255441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720060497",
            "telephone_number": "870-347-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 THIRD ST",
            "city": "HORSESHOE BEND",
            "state": "AR",
            "postal_code": "725123736",
            "telephone_number": "870-670-4861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Independence Sq",
            "address_purpose": "LOCATION",
            "city": "West Plains",
            "state": "MO",
            "postal_code": "657754233",
            "country_code": "US",
            "telephone_number": "417-255-9700",
            "fax_number": "417-255-9958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWEN",
        "first_name": "DIANNA",
        "middle_name": "L",
        "credential": "MSN, RN, ARNP, FNP-B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-16",
        "last_updated": "2023-03-07",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AR",
            "license": "R69636",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2011005104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horseshoe Bend, AR

Sources for this page

Verify at the official NPI Registry.