Individual provider Active NPI

Lisa D Tinney, APN

  • Nurse Practitioner
  • Hot Springs, AR
National Provider Identifier
1679196042
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
123679 Issued in AR
Practice address
300 Prospect Ave
Hot Springs, AR 71901-4003
Phone
(501) 624-1281
NPI assigned
May 20, 2020
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 123679 AR Primary

Addresses

Primary practice location

300 Prospect Ave
Hot Springs, AR 71901-4003

Mailing address

PO Box 22114
Hot Springs, AR 71903-2114
Phone (501) 500-1903

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
I20200527002248 AR Practitioner - Nurse Practitioner 8820419906 Reassigns benefits to 3 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)

1 Mercy LN
Hot Springs, AR 71913-6440

1 Mercy LN
Suite 406
Hot Springs, AR 71913-6441
Phone (501) 501-8893

300 Werner St
Hot Springs, AR 71913-6406

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
123679ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Psychiatric Services LLC CurrentSince Dec 1, 2020 Accepting new patients
Leo N Levi Memorial Hospital Association CurrentSince Jun 21, 2021 Accepting new patients
Balanced Mind Mental Health PastSince Dec 1, 2020 Accepting new patients

Locations

1 Mercy Ln
Ste 406
Hot Springs, AR 71913
Phone (501) 501-8893

300 Prospect Ave
Hot Springs National Park, AR 71901
Phone (501) 622-3454

Organizations & group practices 4

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 6

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": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1679196042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22114",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719032114",
            "telephone_number": "501-500-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PROSPECT AVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719014003",
            "telephone_number": "501-624-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINNEY",
        "first_name": "LISA",
        "middle_name": "D",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-20",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "123679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.