Active NPI
Shanna L Pearson, ANP
- Nurse Practitioner
- Yellville, AR
National Provider Identifier
1558473165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- A01210
- Practice address
- 707 Highway 202 W
Yellville, AR 72687-9333 - Phone
- (870) 449-4259
- Fax
- (870) 449-6364
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
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 | A01210 | AR | Primary |
Addresses
Primary practice location
707 Highway 202 W
Yellville, AR 72687-9333
Mailing address
134 Becky Dr
Yellville, AR 72687-7587
Phone (870) 449-4259
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1993
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
4815 W Markham St
Little Rock, AR 72205-3866
Phone (501) 661-2000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A01210 | AR | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Arkansas | Past | Accepting new patients | |
| State of Arkansas | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Public Health or Welfare Agency
- Little Rock, AR
- NPI 1619195906
-
- Skilled Nursing Facility
- North Little Rock, AR
- NPI 1689117756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360800000000",
"number": "1558473165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 BECKY DR",
"city": "YELLVILLE",
"state": "AR",
"postal_code": "726877587",
"telephone_number": "870-449-4259",
"fax_number": "870-449-6364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 HIGHWAY 202 W",
"city": "YELLVILLE",
"state": "AR",
"postal_code": "726879333",
"telephone_number": "870-449-4259",
"fax_number": "870-449-6364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "SHANNA",
"middle_name": "L",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2013-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AR",
"license": "A01210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yellville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.