Individual provider Active NPI

Alicia Marie Gates, DNP

  • Family Nurse Practitioner
  • Garfield, AR
National Provider Identifier
1699336586
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
120200 Issued in AR
Practice address
16723 Highway 62
Garfield, AR 72732-7007
Phone
(479) 359-2151
NPI assigned
Jun 22, 2019
Last updated
Jun 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 120200 AR Primary

Addresses

Primary practice location

16723 Highway 62
Garfield, AR 72732-7007

Mailing address

101 W Main St
Hardy, AR 72542-9566

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
I20190719000370 AR Practitioner - Nurse Practitioner 9739415340 Reassigns benefits to 2 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)

16723 Hwy 62
Garfield, AR 72732-7007
Phone (870) 219-7706

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
120200ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley Bibb MD PLLC CurrentSince Mar 23, 2021 Accepting new patients
Access Medical Clinic Arkansas LLC CurrentSince Jul 15, 2019 Accepting new patients
Bradley Bibb, MD PLLC CurrentSince Mar 23, 2021 Accepting new patients
Bradley Bibb MD PLLC Current Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas, LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Bradley Bibb MD PLLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas, LLC Past Accepting new patients

Locations

16723 Highway 62
Garfield, AR 72732
Phone (870) 219-7706

101 W Main St
Hardy, AR 72542
Phone (870) 856-2100

871 E Heritage Pkwy
Prairie Grove, AR 72753
Phone (479) 487-2001

106 Highway 62 W
Salem, AR 72576
Phone (870) 895-2762

3809 E 9th St
Ste 15
Texarkana, AR 71854
Phone (870) 621-0080

451 Phillips St
West Fork, AR 72774
Phone (479) 294-6085

Interoperability endpoints

  • Direct secure messaging: alicia.gates.1@2424.direct.athenahealth.com

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1699336586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W MAIN ST",
            "city": "HARDY",
            "state": "AR",
            "postal_code": "725429566",
            "fax_number": "870-856-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16723 HIGHWAY 62",
            "city": "GARFIELD",
            "state": "AR",
            "postal_code": "727327007",
            "telephone_number": "479-359-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES",
        "first_name": "ALICIA",
        "middle_name": "MARIE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-22",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "120200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield, AR

Sources for this page

Verify at the official NPI Registry.