Individual provider Active NPI

Mary Edna Fithen, R.N.P.

  • Nurse Practitioner
  • Hot Springs, AR
National Provider Identifier
1679578264
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
P00458 Issued in AR
Practice address
180 Medical Park PL
Suite 101
Hot Springs, AR 71901-8065
Phone
(501) 625-3400
Fax
(501) 625-3402
NPI assigned
Jun 20, 2005
Last updated
Nov 25, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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 P00458 AR Primary

Addresses

Primary practice location

180 Medical Park PL
Suite 101
Hot Springs, AR 71901-8065

Mailing address

180 Medical Park PL
Suite 101
Hot Springs, AR 71901-8065
Phone (501) 625-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P00458ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
National Park Cardiology Services, LLC Past Accepting new patients
Arkansas Healthcare Services LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2554/brand/4/csg/1/fhir/r4

Organizations & group practices 2

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259107200000",
    "number": "1679578264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 MEDICAL PARK PL",
            "address_2": "SUITE 101",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719018065",
            "telephone_number": "501-625-3400",
            "fax_number": "501-625-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MEDICAL PARK PL",
            "address_2": "SUITE 101",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719018065",
            "telephone_number": "501-625-3400",
            "fax_number": "501-625-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITHEN",
        "first_name": "MARY",
        "middle_name": "EDNA",
        "credential": "R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2009-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "P00458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.