Active NPI
Marie Lauren Hatfield
- Nurse Practitioner
- Springdale, AR
National Provider Identifier
1558748657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- A004330
- 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, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 217800758 | Medicaid | AR |
Other names 1
- Ms. Marie Lauren Cutrara
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A004330 | AR | MD | General Acute Care Hospital |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Linctohealth | Current | Accepting new patients | |
| Enhanced Healthcare Nwa Inc | Current | 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.
-
- Primary Care Clinic/Center
- Rogers, AR
- NPI 1770284374
-
- Gerontology Nurse Practitioner
- Springdale, AR
- NPI 1487426375
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.