Individual provider Active NPI

Alexis Nicole Starks

  • Family Medicine Physician
  • White Hall, AR
National Provider Identifier
1588407761
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
229296 Issued in AR
Practice address
1400 Claud Rd
White Hall, AR 71602-8622
Phone
(870) 247-9499
NPI assigned
Jun 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 229296 AR Primary

Addresses

Primary practice location

1400 Claud Rd
White Hall, AR 71602-8622

Mailing address

502 Turner Ave
White Hall, AR 71602-2846
Phone (870) 209-1397

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
I20241231002713 AR Practitioner - Nurse Practitioner 3476080540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

451 Phillips St
West Fork, AR 72774-2813
Phone (479) 294-6085

810 S Rock St
Sheridan, AR 72150-7066
Phone (870) 994-7301

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
229296ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Medical Clinic Arkansas LLC Family Medicine CurrentSince Oct 21, 2024 Accepting new patients
Access Medical Clinic Arkansas LLC Family Medicine CurrentSince Oct 21, 2024 Accepting new patients
Access Medical Clinic Arkansas LLC Family Medicine Current Accepting new patients

Locations

16723 Highway 62
Garfield, AR 72732
Phone (870) 219-7706

4196 Highway 62 412
#A
Hardy, AR 72542
Phone (870) 856-2100

810 S Rock St
Sheridan, AR 72150
Phone (870) 917-2289

Interoperability endpoints

  • Direct secure messaging: alexis.starks.1@15024.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1588407761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 TURNER AVE",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716022846",
            "telephone_number": "870-209-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CLAUD RD",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716028622",
            "telephone_number": "870-247-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARKS",
        "first_name": "ALEXIS",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "229296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Hall, AR

Sources for this page

Verify at the official NPI Registry.