Individual provider Active NPI

Alison Hobson Shepherd, APRN

  • Family Nurse Practitioner
  • Forrest City, AR
National Provider Identifier
1619460813
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ATP001299 Issued in AR
Practice address
904 Holiday Dr Ste 404
Forrest City, AR 72335-9157
Phone
(870) 633-0215
NPI assigned
Jun 12, 2018
Last updated
Jun 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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 ATP001299 AR Primary

Addresses

Primary practice location

904 Holiday Dr Ste 404
Forrest City, AR 72335-9157

Mailing address

49 County Road 7429
Wynne, AR 72396-5005
Phone (870) 270-0544

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
I20180906000072 AR Practitioner - Nurse Practitioner 6103176516 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ATP001299ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Changes Behavioral Health, LLC CurrentSince Jan 29, 2022 Accepting new patients
Forrest City Emergency Physicians PLLC CurrentSince Mar 6, 2021 Accepting new patients
Forrest City Emergency Physicians, PLLC CurrentSince Mar 6, 2021 Accepting new patients
Dr. Kumar's Medical Clinic PA Current Accepting new patients
Forrest City Clinic Company LLC CurrentSince Jul 15, 2018 Accepting new patients
WH Services Arkansas, LLC CurrentSince Oct 5, 2024 Accepting new patients

Locations

1601 New Castle Rd
Forrest City, AR 72335
Phone (870) 261-0000

1801 Lindauer Rd
Forrest City, AR 72335
Phone (870) 633-5016

904 Holiday Dr
Ste 404
Forrest City, AR 72335
Phone (870) 630-1683

204 Mississippi St S
Wynne, AR 72396
Phone (870) 208-8499

Interoperability endpoints

  • Direct secure messaging: alshephe@yourcarecommunity.org
  • FHIR API: https://api.platform.athenahealth.com/1607/brand/1/csg/1/fhir/r4

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": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1619460813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 COUNTY ROAD 7429",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723965005",
            "telephone_number": "870-270-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 HOLIDAY DR STE 404",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723359157",
            "telephone_number": "870-633-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "ALISON",
        "middle_name": "HOBSON",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "ATP001299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forrest City, AR

Sources for this page

Verify at the official NPI Registry.