Active NPI
Bonnie E Dillard, APN
- Nurse Practitioner
- Searcy, AR
National Provider Identifier
1548334337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- A01554
- Practice address
- 617 Marion St
Searcy, AR 72143-4845 - Phone
- (501) 305-9826
- Fax
- (501) 279-3089
- NPI assigned
- Nov 20, 2006
- Last updated
- Jan 6, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A01554 | AR | Primary |
Addresses
Primary practice location
617 Marion St
Searcy, AR 72143-4845
Mailing address
617 Marion St
Searcy, AR 72143-4845
Phone (501) 305-9826
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 165031758 | Medicaid | AR |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A01554 | AR | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr B. E. Holmes PA | Past | Accepting new patients | |
| Arcare | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Lonoke, AR
- NPI 1336353457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294272000000",
"number": "1548334337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 MARION ST",
"city": "SEARCY",
"state": "AR",
"postal_code": "721434845",
"telephone_number": "501-305-9826",
"fax_number": "501-279-3089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 MARION ST",
"city": "SEARCY",
"state": "AR",
"postal_code": "721434845",
"telephone_number": "501-305-9826",
"fax_number": "501-279-3089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLARD",
"first_name": "BONNIE",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "APN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2011-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AR",
"license": "A01554",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "165031758",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Searcy, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.