Individual provider Active NPI

Justina Arriaza, APRN

  • Family Nurse Practitioner
  • Prairie Grove, AR
National Provider Identifier
1639814742
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
125895 Issued in AR
Practice address
871 E Heritage Pkwy
Prairie Grove, AR 72753-6042
Phone
(479) 487-2003
NPI assigned
May 3, 2022
Last updated
Sep 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R095613 AR
Family Nurse Practitioner 363LF0000X 125895 AR Primary

Addresses

Primary practice location

871 E Heritage Pkwy
Prairie Grove, AR 72753-6042

Mailing address

4196 Highway 62 412 Ste a
Hardy, AR 72542-8002

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
I20220525002750 AR Practitioner - Nurse Practitioner 1557749983 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

871 E Heritage Pkwy
Prairie Grove, AR 72753-6042
Phone (870) 895-2015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R095613ARMDRegistered Nurse
125895ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis House Nwa, Inc CurrentSince May 16, 2022 Accepting new patients
Access Medical Clinic Arkansas LLC CurrentSince Jul 1, 2024 Accepting new patients
St Francis House Nwa, Inc CurrentSince May 16, 2022 Accepting new patients
Access Medical Clinic Arkansas LLC CurrentSince Jul 1, 2024 Accepting new patients
Access Medical Clinic Arkansas LLC Current Accepting new patients
St Francis House Nwa, Inc 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

871 E Heritage Pkwy
Prairie Grove, AR 72753
Phone (479) 487-2001

610 E Emma Ave
Ste C
Springdale, AR 72764

614 E Emma Ave
Ste 300
Springdale, AR 72764
Phone (479) 751-4898

Interoperability endpoints

  • Direct secure messaging: justina.arriaza.1@15024.direct.athenahealth.com

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": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1639814742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4196 HIGHWAY 62 412 STE A",
            "city": "HARDY",
            "state": "AR",
            "postal_code": "725428002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 E HERITAGE PKWY",
            "city": "PRAIRIE GROVE",
            "state": "AR",
            "postal_code": "727536042",
            "telephone_number": "479-487-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARRIAZA",
        "first_name": "JUSTINA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-03",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R095613",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "125895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Grove, AR

Sources for this page

Verify at the official NPI Registry.