Active NPI
Teresa Post McDonald, GNP
- Gerontology Nurse Practitioner
- El Dorado, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 268411
- Practice address
- 700 W Grove St
2 North
El Dorado, AR 71730-4416 - Phone
- (870) 863-2379
- NPI assigned
- Mar 25, 2008
- Last updated
- Aug 19, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 268411 | AR | Primary |
Addresses
Primary practice location
700 W Grove St
2 North
El Dorado, AR 71730-4416
Mailing address
4385 Iron Mountain Rd
Junction City, AR 71749-9571
Phone (870) 866-3862
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101028000704 | AR | Practitioner - Nurse Practitioner | 9436343910 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 268411 | AR | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Share Foundation | Current | Accepting new patients | |
| South Arkansas Physician Services LLC | Current | Accepting new patients | |
| Share Foundation | Current | Accepting new patients |
Locations
2301 Champagnolle Rd
El Dorado, AR 71730
Phone (870) 862-0337
620 W Grove St
Ste 202
El Dorado, AR 71730
Phone (870) 863-2420
700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200
700 W Grove St
#2N
El Dorado, AR 71730
Phone (870) 863-2379
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.
-
dba Life Touch Hospice
- Community Based Hospice Care Agency
- El Dorado, AR
- NPI 1174522841
-
dba Palliative Care of South Arkansas
- Hospice and Palliative Medicine (Family Medicine) Physician
- El Dorado, AR
- NPI 1558909192
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1427018704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282176000000",
"number": "1700058245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4385 IRON MOUNTAIN RD",
"city": "JUNCTION CITY",
"state": "AR",
"postal_code": "717499571",
"telephone_number": "870-866-3862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 W GROVE ST",
"address_2": "2 NORTH",
"city": "EL DORADO",
"state": "AR",
"postal_code": "717304416",
"telephone_number": "870-863-2379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "TERESA",
"middle_name": "POST",
"credential": "GNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-25",
"last_updated": "2010-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "AR",
"license": "268411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Dorado, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.