Individual provider Active NPI

Leann W Metheny, DNP, FNP-BC, NP-C

  • Nurse Practitioner
  • Springdale, AR
National Provider Identifier
1598052250
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A03552 Issued in AR
Practice address
700 N 40TH St Ste B
Springdale, AR 72762-0633
Phone
(479) 318-2828
Fax
(479) 318-2683
NPI assigned
Jul 1, 2011
Last updated
Oct 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A03552 AR Primary

Addresses

Primary practice location

700 N 40TH St Ste B
Springdale, AR 72762-0633

Mailing address

PO Box 83
Elm Springs, AR 72728-0083
Phone (479) 879-3400

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
I20111103000398 AR Practitioner - Nurse Practitioner 3870766041 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

106 Water Ave
Suite a
Elm Springs, AR 72762-9155
Phone (479) 844-4300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A03552ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Siloam Springs Clinic Company LLC CurrentSince Jun 1, 2019 Accepting new patients
Northwest Physicians LLC CurrentSince Feb 20, 2019 Accepting new patients
Northwest Physicians LLC CurrentSince Feb 20, 2019 Accepting new patients
South Arkansas Emergency Physicians, LLP Nurse Practitioner CurrentSince Jul 1, 2015 Accepting new patients
Northwest Benton County Physician Services LLC CurrentSince Jun 1, 2019 Accepting new patients
South Arkansas Emergency Physicians LLP Nurse Practitioner CurrentSince Jul 1, 2015 Accepting new patients
Shamsul Alam MD PA PastSince Nov 25, 2013 Accepting new patients

Locations

2618 SE J St
Ste 4
Bentonville, AR 72712

101 Sun Meadow Dr
Centerton, AR 72719
Phone (479) 273-1426

603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000

601 W Maple Ave
Ste 403
Springdale, AR 72764
Phone (479) 750-2742

609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EADDDD/Endpoint/EADDDD

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1598052250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83",
            "city": "ELM SPRINGS",
            "state": "AR",
            "postal_code": "727280083",
            "telephone_number": "479-879-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N 40TH ST STE B",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620633",
            "telephone_number": "479-318-2828",
            "fax_number": "479-318-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METHENY",
        "first_name": "LEANN",
        "middle_name": "W",
        "name_prefix": "Ms.",
        "credential": "DNP, FNP-BC, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-01",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A03552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.