Individual provider Active NPI

Teresa Post McDonald, GNP

  • Gerontology Nurse Practitioner
  • El Dorado, AR
National Provider Identifier
1700058245
Registry record updated Aug 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
268411 Issued in AR
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, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101028000704 AR Practitioner - Nurse Practitioner 9436343910

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
268411ARMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Share Foundation CurrentSince Mar 29, 2021 Accepting new patients
South Arkansas Physician Services LLC CurrentSince Aug 2, 2010 Accepting new patients
Share Foundation CurrentSince Mar 29, 2021 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.

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

Verify at the official NPI Registry.