Individual provider Active NPI

Larry Richard Arnold, FNP-C

  • Family Nurse Practitioner
  • Baldwyn, MS
National Provider Identifier
1548770514
Registry record updated Jan 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902362 Issued in MS
Practice address
1031 Northridge Rd
Baldwyn, MS 38824-1173
Phone
(662) 365-9305
NPI assigned
Oct 4, 2017
Last updated
Jan 30, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 902362 MS Primary

Addresses

Primary practice location

1031 Northridge Rd
Baldwyn, MS 38824-1173

Mailing address

1031 Northridge Rd
Baldwyn, MS 38824-1173
Phone (662) 365-9305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20180103002344 MS Practitioner - Nurse Practitioner 1052679610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Nursemed LLCGroup PAC ID 5294646782, 9 clinicians

Practice addresses (Care Compare)

1031 Northridge Rd
Baldwyn, MS 38824-1173
Phone (662) 365-9305

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Nursemed LLC CurrentSince Dec 1, 2017 Accepting new patients
Turner, LLC PastSince Dec 1, 2017 Accepting new patients

Locations

1031 Northridge Rd
Baldwyn, MS 38824
Phone (662) 365-9305

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517270400000",
    "number": "1548770514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 NORTHRIDGE RD",
            "city": "BALDWYN",
            "state": "MS",
            "postal_code": "388241173",
            "telephone_number": "662-365-9305",
            "fax_number": "662-365-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 NORTHRIDGE RD",
            "city": "BALDWYN",
            "state": "MS",
            "postal_code": "388241173",
            "telephone_number": "662-365-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "LARRY",
        "middle_name": "RICHARD",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-04",
        "last_updated": "2018-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwyn, MS

Sources for this page

Verify at the official NPI Registry.