NPIMap

Individual provider Active NPI

David Matthew York, APRN

  • Pediatric Nurse Practitioner
  • Hot Springs, AR
National Provider Identifier
1619475787
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
A005357 Issued in AR
Practice address
1920 Malvern Ave
Hot Springs, AR 71901-7752
Phone
(501) 321-1314
Fax
(501) 321-1810
NPI assigned
Jan 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X A005357 AR Primary

Addresses

Primary practice location

1920 Malvern Ave
Hot Springs, AR 71901-7752

Mailing address

1920 Malvern Ave
Hot Springs, AR 71901-7752
Phone (501) 321-1314

Other identifiers 1

IdentifierTypeStateIssuer
A005357OtherARARKANSAS STATE BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A005357ARMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Connections, Inc. Past Accepting new patients
Healthy Connections, Inc. Past Accepting new patients
Healthy Connections Incorporated Past Accepting new patients
Healthy Connections, Inc. Past Accepting new patients
Healthy Connections, Inc. Past Accepting new patients
Hot Springs Pediatric Clinic,P.a. Pediatrics Past Accepting new patients
Healthy Connections Incorporated Past Accepting new patients
Healthy Connections, Inc. Past Accepting new patients
Healthy Connections, Inc. Past Accepting new patients
Healthfirst Physicians of Arkansas, P. a. Past Accepting new patients
Healthy Connections Incorporated Past Accepting new patients

Organizations & group practices 11

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1619475787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 MALVERN AVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017752",
            "telephone_number": "501-321-1314",
            "fax_number": "501-321-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 MALVERN AVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017752",
            "telephone_number": "501-321-1314",
            "fax_number": "501-321-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORK",
        "first_name": "DAVID",
        "middle_name": "MATTHEW",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AR",
            "license": "A005357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS STATE BOARD OF NURSING",
            "identifier": "A005357",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.