Individual provider Active NPI

Danna Scott Deaton, APRN

  • Family Nurse Practitioner
  • Manila, AR
National Provider Identifier
1578667010
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A01771 Issued in AR
Practice address
3644 W St Hwy 18
Suite B
Manila, AR 72442
Phone
(870) 561-3300
Fax
(870) 561-3307
NPI assigned
Sep 12, 2006
Last updated
Feb 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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 A01771 AR Primary

Addresses

Primary practice location

3644 W St Hwy 18
Suite B
Manila, AR 72442

Mailing address

3644 W St Highway 18
Suite B
Manila, AR 72442
Phone (870) 561-3300

Other identifiers 1

IdentifierTypeStateIssuer
154515758MedicaidAR

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
I20040913001412 AR Practitioner - Nurse Practitioner 0840267415 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

616 W Keiser Ave
Osceola, AR 72370-3504
Phone (870) 563-5888

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A01771ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Dec 12, 2022 Accepting new patients
St Bernards Physician Clinics Inc CurrentSince Jul 15, 2022 Accepting new patients
St Bernards Physician Clinics Inc CurrentSince Jul 15, 2022 Accepting new patients
Riverside Medical Clinic CurrentSince May 4, 2015 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince Dec 12, 2022 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Past Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Past Accepting new patients

Locations

1001 W Parker Rd
Jonesboro, AR 72404
Phone (870) 336-1700

1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242

1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432

225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630

333 Red Wolf Blvd
Jonesboro, AR 72405
Phone (870) 207-0405

909 Enterprise Dr
Jonesboro, AR 72401
Phone (870) 336-1100

803 Highway 18
Lake City, AR 72437
Phone (870) 237-1055

3644 W State Highway 18
Manila, AR 72442
Phone (870) 561-1500

3644 W State Highway 18
Ste B
Manila, AR 72442
Phone (870) 561-3300

616 W Keiser Ave
Osceola, AR 72370
Phone (870) 563-5888

Interoperability endpoints

  • Direct secure messaging: dsdeaton1@sbpc.medalliesdirect.net

Organizations & group practices 7

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": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1578667010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3644 W ST HIGHWAY 18",
            "address_2": "SUITE B",
            "city": "MANILA",
            "state": "AR",
            "postal_code": "72442",
            "telephone_number": "870-561-3300",
            "fax_number": "870-561-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3644 W ST HWY 18",
            "address_2": "SUITE B",
            "city": "MANILA",
            "state": "AR",
            "postal_code": "72442",
            "telephone_number": "870-561-3300",
            "fax_number": "870-561-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT DEATON",
        "first_name": "DANNA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A01771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154515758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manila, AR

Sources for this page

Verify at the official NPI Registry.