Individual provider Active NPI

Anthony Vincent Ciaramitaro, APRN

  • Family Nurse Practitioner
  • Booneville, AR
National Provider Identifier
1649831041
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
120256 Issued in AR
Practice address
871 W Main St
Booneville, AR 72927-3420
Phone
(479) 675-4100
Fax
(870) 895-2164
NPI assigned
Jun 26, 2019
Last updated
Jun 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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 120256 AR Primary

Addresses

Primary practice location

871 W Main St
Booneville, AR 72927-3420

Mailing address

101 W Main St
Hardy, AR 72542-9566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190718000986 AR Practitioner - Nurse Practitioner 8820323462 Reassigns benefits to 3 organizations
I20250915004180 GA Practitioner - Nurse Practitioner 8820323462

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
Bradley Bibb MD PLLCGroup PAC ID 4789715285, 71 clinicians

Practice addresses (Care Compare)

106 N Van Buren St
Weiner, AR 72479-9289
Phone (870) 605-0014

11005 Heber Springs Rd N
Concord, AR 72523-9561
Phone (844) 291-4901

1176 State Hwy 22 W B
AMC Dardanelle
Dardanelle, AR 72834-3006
Phone (479) 229-3004

1308 E Page Ave
Malvern, AR 72104-4518
Phone (501) 337-9820

16723 Hwy 62
Garfield, AR 72732-7007
Phone (870) 219-7706

3519 Hwy 63
Black Rock, AR 72415-9022
Phone (870) 878-4005

4196 Hwy 62 412
Hardy, AR 72542-8002
Phone (870) 994-7301

444 Taylor Cir
Cave City, AR 72521-9137
Phone (870) 376-2844

451 Phillips St
West Fork, AR 72774-2813
Phone (479) 294-6085

806 E Main St
Flippin, AR 72634-8668
Phone (870) 219-7706

871 W Main St
Booneville, AR 72927-3420
Phone (870) 219-7706

942 Hwy 65 N
Marshall, AR 72650-7772
Phone (888) 518-1418

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley Bibb MD PLLC CurrentSince Nov 16, 2020 Accepting new patients
Access Medical Clinic Arkansas LTC LLC CurrentSince Nov 11, 2023 Accepting new patients
Access Medical Clinic Arkansas LLC CurrentSince Jul 15, 2019 Accepting new patients
Access Medical Clinic Arkansas LLC CurrentSince Jul 15, 2019 Accepting new patients
Bradley Bibb MD PLLC CurrentSince Nov 16, 2020 Accepting new patients
Access Medical Clinic Arkansas LTC LLC CurrentSince Nov 11, 2023 Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas, LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Bradley Bibb MD PLLC Past Accepting new patients
Access Medical Clinic Arkansas, LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients

Locations (25 of 27)

49 Highway 62 412
Ash Flat, AR 72513
Phone (573) 718-2570

49 Highway 62 412
Ste 412
Ash Flat, AR 72513

3519 Highway 63
Black Rock, AR 72415
Phone (870) 878-4005

10144 Highway 63 N
#A
Bono, AR 72416
Phone (870) 520-6069

871 W Main St
Booneville, AR 72927
Phone (479) 675-4100

104 W State St
Caraway, AR 72419
Phone (870) 219-7706

444 Taylor Cir
Cave City, AR 72521
Phone (870) 376-2844

11005 Heber Springs Rd N
Concord, AR 72523
Phone (844) 291-4901

1176 State Highway 22 W
Ste B
Dardanelle, AR 72834
Phone (479) 229-3004

704 Main Ave
Dierks, AR 71833
Phone (870) 455-1172

806 E Main St
Flippin, AR 72634
Phone (870) 219-7706

16723 Highway 62
Garfield, AR 72732
Phone (870) 219-7706

20 Wilson Farm Rd
Greenbrier, AR 72058
Phone (501) 679-8970

101 W Main St
Hardy, AR 72542
Phone (870) 856-2100

4196 Highway 62 412
#A
Hardy, AR 72542
Phone (870) 856-2100

1713 W Main St
Heber Springs, AR 72543
Phone (501) 250-2020

405 W 16th St
Hope, AR 71801
Phone (870) 777-0007

1308 E Page Ave
Malvern, AR 72104
Phone (501) 337-9820

202 Newsome Dr
Marked Tree, AR 72365
Phone (870) 358-4355

942 Highway 65 N
Marshall, AR 72650
Phone (870) 448-3577

1016 N Fourche Ave
Perryville, AR 72126
Phone (501) 237-1284

106 Highway 62 W
Salem, AR 72576
Phone (870) 895-2762

810 S Rock St
Sheridan, AR 72150
Phone (870) 917-2289

3809 E 9th St
Ste 15
Texarkana, AR 71854
Phone (870) 621-0080

9798 Highway 62 W
Viola, AR 72583
Phone (870) 458-6732

Interoperability endpoints

  • Direct secure messaging: anthony.ciaramitaro.1@22235.direct.athenahealth.com
  • Direct secure messaging: anthony.ciaramitaro.1@2424.direct.athenahealth.com

Organizations & group practices 27

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.

View all 27

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": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1649831041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W MAIN ST",
            "city": "HARDY",
            "state": "AR",
            "postal_code": "725429566",
            "fax_number": "870-856-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 W MAIN ST",
            "city": "BOONEVILLE",
            "state": "AR",
            "postal_code": "729273420",
            "telephone_number": "479-675-4100",
            "fax_number": "870-895-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIARAMITARO",
        "first_name": "ANTHONY",
        "middle_name": "VINCENT",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "120256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Booneville, AR

Sources for this page

Verify at the official NPI Registry.