NPIMap

Individual provider Active NPI

Suzanna C Blackburn, APN

  • Family Nurse Practitioner
  • Heber Springs, AR
National Provider Identifier
1659695898
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A003348 Issued in AR
Practice address
521 Wilburn Rd
Heber Springs, AR 72543-8714
Phone
(501) 270-4200
NPI assigned
Mar 17, 2010
Last updated
Jul 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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 A003348 AR Primary

Addresses

Primary practice location

521 Wilburn Rd
Heber Springs, AR 72543-8714

Mailing address

521 Wilburn Rd
Heber Springs, AR 72543-8714
Phone (501) 270-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100806000673 AR Practitioner - Nurse Practitioner 1658404934 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White River Health System, Inc.Group PAC ID 0143134270, shared by 36 NPIs, 190 clinicians

Practice addresses (Care Compare)

105 Case Commons Dr
Mountain View, AR 72560-5016
Phone (870) 269-4144

195 Hospital Dr
Suite B
Cherokee Village, AR 72529-7330
Phone (870) 257-6000

2200 Malcolm Ave
Suite B
Newport, AR 72112-3697
Phone (870) 512-2500

301 S Main St
Cave City, AR 72521-9476
Phone (870) 283-5353

501 Vine St
Newark, AR 72562-9711
Phone (870) 799-3299

521 Wilburn Rd
Heber Springs, AR 72543-8714
Phone (501) 270-4200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
White River Health System, Inc. CurrentSince Jan 1, 2017 Accepting new patients
White River Health System, Inc. CurrentSince Mar 31, 2025 Accepting new patients
White River Health System, Inc. CurrentSince Mar 31, 2025 Accepting new patients
White River Health System, Inc. CurrentSince Apr 16, 2018 Accepting new patients
White River Health System, Inc. CurrentSince Apr 3, 2025 Accepting new patients
White River Health System Inc CurrentSince May 29, 2025 Accepting new patients
White River Health System, Inc. CurrentSince Apr 4, 2025 Accepting new patients
White River Health System, Inc CurrentSince Mar 22, 2018 Accepting new patients
Dr B. E. Holmes PA Past Accepting new patients

Locations

16 Hospital Cir
Ste A
Batesville, AR 72501
Phone (870) 269-4361

1710 Harrison St
Batesville, AR 72501
Phone (870) 262-1240

195 Hospital Dr
Ste B
Cherokee Vlg, AR 72529
Phone (870) 257-6000

521 Wilburn Rd
Heber Springs, AR 72543
Phone (501) 270-4200

1526 E Main St
Melbourne, AR 72556
Phone (870) 262-3210

105 Case Commons Dr
Mountain View, AR 72560
Phone (870) 269-4144

501 Vine St
Newark, AR 72562
Phone (870) 799-3299

2200 Malcolm Ave
Ste B
Newport, AR 72112
Phone (870) 512-2500

Interoperability endpoints

  • Direct secure messaging: suzanna.blackburn.1@13831.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1659695898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 WILBURN RD",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725438714",
            "telephone_number": "501-270-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 WILBURN RD",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725438714",
            "telephone_number": "501-270-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "SUZANNA",
        "middle_name": "C",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-17",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A003348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heber Springs, AR

Sources for this page

Verify at the official NPI Registry.