Individual provider Active NPI

Amanda Day, APRN, FNP-C

  • Family Nurse Practitioner
  • Fort Smith, AR
National Provider Identifier
1558715987
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004710 Issued in AR
Practice address
6108 S 31St St
Fort Smith, AR 72908-7555
Phone
(479) 242-9355
Fax
(479) 242-4843
NPI assigned
Apr 21, 2016
Last updated
Apr 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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 A004710 AR Primary

Addresses

Primary practice location

6108 S 31St St
Fort Smith, AR 72908-7555

Mailing address

6108 S 31St St
Fort Smith, AR 72908-7555
Phone (479) 242-9355

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160614000706 AR Practitioner - Nurse Practitioner 2163713694 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Wellness and Aesthetics, PLLCGroup PAC ID 0244673168, 2 clinicians

Practice addresses (Care Compare)

6108 S 31St St
Fort Smith, AR 72908-7555
Phone (479) 242-9355

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A004710ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Family Clinic CurrentSince May 7, 2016 Accepting new patients
Elite Wellness & Aesthetics, PLLC Family CurrentSince Dec 1, 2023 Accepting new patients

Locations

11808 Highway 71 S
Fort Smith, AR 72916
Phone (479) 434-6140

6108 S 31st St
Fort Smith, AR 72908
Phone (479) 242-9355

9207 Highway 71 S
Ste 9
Fort Smith, AR 72916
Phone (479) 649-3376

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13757/brand/1/csg/1/fhir/r4

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 2

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": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1558715987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6108 S 31ST ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729087555",
            "telephone_number": "479-242-9355",
            "fax_number": "479-242-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6108 S 31ST ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729087555",
            "telephone_number": "479-242-9355",
            "fax_number": "479-242-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAY",
        "first_name": "AMANDA",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-21",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.