Individual provider Active NPI

Lisa McAdams, APN

  • Acute Care Nurse Practitioner
  • El Dorado, AR
National Provider Identifier
1679544571
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
A01509 Issued in AR
Practice address
620 W Grove St
El Dorado, AR 71730-4414
Phone
(870) 862-0801
Fax
(870) 862-3687
NPI assigned
Jan 30, 2006
Last updated
May 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X A01509 AR Primary

Addresses

Primary practice location

620 W Grove St
El Dorado, AR 71730-4414

Mailing address

115 Wrights St
Hot Springs, AR 71913-6240
Phone (501) 321-9803

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
I20100727000878 AR Practitioner - Nurse Practitioner 9638202716

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A01509ARMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
California Renal Care CurrentSince Jan 1, 2012 Accepting new patients
Arkansas Renal Group PA Current Accepting new patients
Arkansas Renal Group PA CurrentSince Jan 1, 2012 Accepting new patients

Locations

620 W Grove St
El Dorado, AR 71730
Phone (870) 862-0801

620 W Grove St
Ste 101
El Dorado, AR 71730
Phone (870) 862-0801

115 Wrights St
Hot Springs National Park, AR 71913
Phone (501) 321-9803

115 Wrights St
#C
Hot Springs National Park, AR 71913
Phone (501) 321-9803

Organizations & group practices 3

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1679544571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WRIGHTS ST",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136240",
            "telephone_number": "501-321-9803",
            "fax_number": "501-321-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W GROVE ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304414",
            "telephone_number": "870-862-0801",
            "fax_number": "870-862-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCADAMS",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AR",
            "license": "A01509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, AR

Sources for this page

Verify at the official NPI Registry.