Individual provider Active NPI

Colleen Jane Atchley, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Ratcliff, AR
National Provider Identifier
1578810487
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
A003744 Issued in AR
Practice address
9755 W State Highway 22
Ratcliff, AR 72951-9000
Phone
(479) 431-2050
Fax
(479) 431-2051
NPI assigned
Aug 9, 2012
Last updated
Jul 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X A003744 AR Primary

Addresses

Primary practice location

9755 W State Highway 22
Ratcliff, AR 72951-9000

Mailing address

9755 W State Highway 22
Ratcliff, AR 72951-9000
Phone (479) 431-2050

Other practice location 1

4 Highway 71
Mountainburg, AR 72946
Phone (479) 369-2091

Other practice location 2

3202 N 6th St
Fort Smith, AR 72904-4164
Phone (479) 783-3900

Other practice location 3

421 N Main St
Mulberry, AR 72947-8574
Phone (479) 997-1484

Other practice location 4

4700 Kelley Hwy
Fort Smith, AR 72904-5024
Phone (479) 785-5700

Other practice location 5

2074 Rice St
Waldron, AR 72958-7435
Phone (479) 668-4700

Other practice location 6

4003 Massard Rd
Fort Smith, AR 72903-6221
Phone (479) 434-4747

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
I20121010000406 AR Practitioner - Nurse Practitioner 0547419350 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3202 N 6TH St
Northside Clinic at 6TH St
Fort Smith, AR 72904-4164
Phone (479) 783-3900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A003744ARMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Guidance Center - Ozark Clinic CurrentSince Aug 20, 2012 Accepting new patients
River Valley Primary Care Services CurrentSince Nov 25, 2019 Accepting new patients
Western Arkansas Counseling & Guidance Center, Inc Current Accepting new patients
River Valley Primary Care Services Current Accepting new patients
River Valley Primary Care Services CurrentSince Nov 25, 2019 Accepting new patients
River Valley Primary Care Services Inc Past Accepting new patients

Locations

708 W Main St
Clarksville, AR 72830
Phone (479) 668-3282

1273 E Highway 64
Coal Hill, AR 72832
Phone (479) 279-7670

3111 S 70th St
Fort Smith, AR 72903

3202 N 6th St
Fort Smith, AR 72904
Phone (479) 314-1456

4003 Massard Rd
Fort Smith, AR 72903
Phone (479) 226-3836

4900 Kelley Hwy
Fort Smith, AR 72904
Phone (479) 783-0221

635 Childers Ave
Lamar, AR 72846
Phone (479) 668-4881

603 S Division St
Lavaca, AR 72941
Phone (479) 279-7700

4 Highway 71 NE
Mountainburg, AR 72946
Phone (479) 359-2091

722 Highway 282 SW
Mountainburg, AR 72946
Phone (479) 369-2086

421 N Main St
Mulberry, AR 72947
Phone (479) 997-1484

2705 Oak Ln
#A
Van Buren, AR 72956
Phone (479) 474-8084

1857 Rice St
Waldron, AR 72958
Phone (479) 637-2468

2074 Rice St
Waldron, AR 72958
Phone (479) 637-2100

Interoperability endpoints

  • Direct secure messaging: catchley589638@direct.ochin.org

Organizations & group practices 6

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": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1578810487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9755 W STATE HIGHWAY 22",
            "city": "RATCLIFF",
            "state": "AR",
            "postal_code": "729519000",
            "telephone_number": "479-431-2050",
            "fax_number": "479-431-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9755 W STATE HIGHWAY 22",
            "city": "RATCLIFF",
            "state": "AR",
            "postal_code": "729519000",
            "telephone_number": "479-431-2050",
            "fax_number": "479-431-2051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Highway 71",
            "address_purpose": "LOCATION",
            "city": "Mountainburg",
            "state": "AR",
            "postal_code": "72946",
            "country_code": "US",
            "telephone_number": "479-369-2091",
            "fax_number": "479-369-4119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3202 N 6th St",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729044164",
            "country_code": "US",
            "telephone_number": "479-783-3900",
            "fax_number": "479-783-3905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "421 N Main St",
            "address_purpose": "LOCATION",
            "city": "Mulberry",
            "state": "AR",
            "postal_code": "729478574",
            "country_code": "US",
            "telephone_number": "479-997-1484",
            "fax_number": "479-997-1494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Kelley Hwy",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729045024",
            "country_code": "US",
            "telephone_number": "479-785-5700",
            "fax_number": "479-785-5708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2074 Rice St",
            "address_purpose": "LOCATION",
            "city": "Waldron",
            "state": "AR",
            "postal_code": "729587435",
            "country_code": "US",
            "telephone_number": "479-668-4700",
            "fax_number": "479-668-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4003 Massard Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729036221",
            "country_code": "US",
            "telephone_number": "479-434-4747",
            "fax_number": "479-434-4949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATCHLEY",
        "first_name": "COLLEEN",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "A003744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ratcliff, AR

Sources for this page

Verify at the official NPI Registry.