Individual provider Active NPI

Caroline Tingquist

  • Specialist
  • Little Rock, AR
National Provider Identifier
1689224297
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C7144 Issued in AR
Practice address
8201 Cantrell Rd Ste 265
Little Rock, AR 72227-2347
Phone
(501) 661-0077
NPI assigned
Sep 16, 2019
Last updated
Sep 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X C7144 AR Primary

Addresses

Primary practice location

8201 Cantrell Rd Ste 265
Little Rock, AR 72227-2347

Mailing address

1105 N Polk St
Little Rock, AR 72205-1734
Phone (501) 538-6106

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
I20191127002007 AR Practitioner - Nurse Practitioner 3476986720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arkansas Neurosurgery Brain and Spine Clinic P.a.Group PAC ID 0345281663, 8 clinicians

Practice addresses (Care Compare)

8201 Cantrell Rd
Suite 265
Little Rock, AR 72227-2347
Phone (501) 661-0077

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C7144ARMDSpecialist

Interoperability endpoints

  • Direct secure messaging: caroline.tingquist.p1@direct.legacyneuro.nextgenshare.com

Organizations & group practices 1

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": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1689224297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 N POLK ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722051734",
            "telephone_number": "501-538-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 CANTRELL RD STE 265",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722272347",
            "telephone_number": "501-661-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINGQUIST",
        "first_name": "CAROLINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "C7144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.