Individual provider Active NPI

Marie Lauren Hatfield

  • Nurse Practitioner
  • Springdale, AR
National Provider Identifier
1558748657
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A004330 Issued in AR
Practice address
5230 Willow Creek Dr Ste 201
Springdale, AR 72762-0899
Phone
(479) 927-3100
NPI assigned
Apr 28, 2015
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X A004330 AR
Nurse Practitioner 363L00000X A004330 AR Primary

Addresses

Primary practice location

5230 Willow Creek Dr Ste 201
Springdale, AR 72762-0899

Mailing address

4190 Ravenwood
Springdale, AR 72762-0575
Phone (479) 263-9376

Other practice location 1

705 Phillips Pl
Huntsville, AR 72740-6266
Phone (479) 738-1700

Other identifiers 1

IdentifierTypeStateIssuer
217800758MedicaidAR

Other names 1

  • Ms. Marie Lauren Cutrara Former name

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
I20160427000390 AR Practitioner - Nurse Practitioner 6608175567 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A004330ARMDGeneral Acute Care Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
Linctohealth CurrentSince Oct 29, 2023 Accepting new patients
Enhanced Healthcare Nwa Inc CurrentSince Mar 3, 2023 Accepting new patients

Locations

5102 W Pauline Whitaker Pkwy
Ste 124
Rogers, AR 72758
Phone (479) 278-2703

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.

NPI Registry JSON

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1558748657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4190 RAVENWOOD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620575",
            "telephone_number": "479-263-9376",
            "fax_number": "623-666-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 WILLOW CREEK DR STE 201",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620899",
            "telephone_number": "479-927-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 Phillips Pl",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AR",
            "postal_code": "727406266",
            "country_code": "US",
            "telephone_number": "479-738-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATFIELD",
        "first_name": "MARIE",
        "middle_name": "LAUREN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-28",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AR",
            "license": "A004330",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A004330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217800758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "CUTRARA",
            "middle_name": "LAUREN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.