Lora Yother
Individual provider Active NPI Registered Nurse · Hackett, AR
NPI 1679969638 · NPPES record last updated Apr 7, 2015
Key facts
- NPI
- 1679969638
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R086825 (AR)
- Practice address
- 103 Choctaw St
Hackett, AR 72937-2904 - Phone
- (479) 806-4165
- NPI assigned
- Apr 7, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R086825 | AR | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R086825 | AR | Yes |
Addresses
Primary practice location
103 Choctaw St
Hackett, AR 72937-2904
Mailing address
103 Choctaw St
Hackett, AR 72937-2904
NPI Registry JSON
{
"created_epoch": "1428364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428364800000",
"number": "1679969638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 CHOCTAW ST",
"city": "HACKETT",
"state": "AR",
"postal_code": "729372904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 CHOCTAW ST",
"city": "HACKETT",
"state": "AR",
"postal_code": "729372904",
"telephone_number": "479-806-4165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOTHER",
"first_name": "LORA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-07",
"last_updated": "2015-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AR",
"license": "R086825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hackett, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.