Active NPI
Tabitha Jo Marley, APN
- Nurse Practitioner
- Springdale, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- A005237
- Practice address
- 609 W Maple Ave
Springdale, AR 72764-5335 - Phone
- (479) 757-7100
- NPI assigned
- Jun 29, 2017
- Last updated
- Jan 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A005237 | AR | Primary |
Addresses
Primary practice location
609 W Maple Ave
Springdale, AR 72764-5335
Mailing address
175 Woodcliff Rd
Springdale, AR 72764-3688
Phone (479) 899-8030
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3000 Medical Ctr Pkwy
Bentonville, AR 72712-3217
Phone (479) 553-1000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.39 of 100
- Quality
- 99.78
- Improvement activities
- 0
- Cost
- 78.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ies Arkansas PLLC | Current | Accepting new patients | |
| Northwest Arkansas HBP Services LLC | Current | Accepting new patients | |
| South Arkansas Emergency Physicians, LLP | Nurse Practitioner | Current | Accepting new patients |
| Springdale- Bentonville HBP Services, LLC | Nurse Practitioner | Current | Accepting new patients |
| South Arkansas Emergency Physicians LLP | Nurse Practitioner | Current | Accepting new patients |
| South Arkansas Emergency Physicians, LLP | Nurse Practitioner | Current | Accepting new patients |
Locations
3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524
1580 E Centerton Blvd
Bentonville, AR 72712
Phone (479) 553-2150
3873 N Parkview Dr
Fayetteville, AR 72703
Phone (479) 527-0050
603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000
609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711
4301 Willow Creek Dr
Springdale, AR 72762
Phone (479) 684-3104
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.
-
- Neonatal-Perinatal Medicine Physician
- Bentonville, AR
- NPI 1811762701
Nurse Practitioner
-
- Emergency Medicine Physician
- El Dorado, AR
- NPI 1942435458
Nurse Practitioner
-
dba Northwest Health Emergency & Urgent Care
- Emergency Medicine Physician
- Bentonville, AR
- NPI 1174285373
-
- Emergency Medicine Physician
- Springdale, AR
- NPI 1205257250
Nurse Practitioner
-
- Emergency Medicine Physician
- Siloam Springs, AR
- NPI 1225452055
Nurse Practitioner
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwest Medical Center
- General Acute Care Hospital
- Springdale, AR
- NPI 1699726695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674172800000",
"number": "1619498607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 WOODCLIFF RD",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727643688",
"telephone_number": "479-899-8030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 W MAPLE AVE",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727645335",
"telephone_number": "479-757-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARLEY",
"first_name": "TABITHA",
"middle_name": "JO",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-29",
"last_updated": "2023-01-20",
"certification_date": "2023-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AR",
"license": "A005237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.