Individual provider Active NPI

Tina Michelle Wilder Sliger, APRN-CNP

  • Family Nurse Practitioner
  • Bryant, AR
National Provider Identifier
1700403128
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
125504 Issued in AR
Practice address
3525 Ar-5
Suite 200
Bryant, AR 72019
Phone
(501) 333-6654
Fax
(833) 906-2595
NPI assigned
Jul 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 125504 AR Primary

Addresses

Primary practice location

3525 Ar-5
Suite 200
Bryant, AR 72019

Mailing address

103 Arrowhead Rd
Malvern, AR 72104-3675
Phone (501) 762-3691

Other practice location 1

103 Arrowhead Rd
Malvern, AR 72104-3675
Phone (501) 762-3691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1700403128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 ARROWHEAD RD",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721043675",
            "telephone_number": "501-762-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 AR-5",
            "address_2": "SUITE 200",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "72019",
            "telephone_number": "501-333-6654",
            "fax_number": "833-906-2595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Arrowhead Rd",
            "address_purpose": "LOCATION",
            "city": "Malvern",
            "state": "AR",
            "postal_code": "721043675",
            "country_code": "US",
            "telephone_number": "501-762-3691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILDER SLIGER",
        "first_name": "TINA",
        "middle_name": "MICHELLE",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-01",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "125504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryant, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.