Individual provider Active NPI

Lindsey Allison Nichols, CNP

  • Family Nurse Practitioner
  • Cabot, AR
National Provider Identifier
1700414703
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
122354 Issued in AR
Practice address
2251 Bill Foster Memorial Hwy Ste B
Cabot, AR 72023-7200
Phone
(501) 941-3345
Fax
(501) 941-3340
NPI assigned
Mar 27, 2020
Last updated
Mar 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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 122354 AR Primary

Addresses

Primary practice location

2251 Bill Foster Memorial Hwy Ste B
Cabot, AR 72023-7200

Mailing address

2251 Bill Foster Memorial Hwy Ste B
Cabot, AR 72023-7200
Phone (501) 941-3345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200423002621 AR Practitioner - Nurse Practitioner 1658701123 Reassigns benefits to 2 organizations
I20240126003832 TN Practitioner - Nurse Practitioner 1658701123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Villagehealth DM LLCGroup PAC ID 2769812445, 161 clinicians

Practice addresses (Care Compare)

5200 Virginia Way
Brentwood, TN 37027-7569
Phone (720) 703-5293

620 W Grove St
El Dorado, AR 71730-4462
Phone (870) 862-8788

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35275TNMDParamedic

Practice roles

OrganizationSpecialtyStatusNew patients
White County Medical Center Current Accepting new patients
White County Medical Center CurrentSince Apr 20, 2020 Accepting new patients
Villagehealth DM LLC CurrentSince Sep 5, 2023 Accepting new patients
White County Medical Center CurrentSince Apr 20, 2020 Accepting new patients

Locations

2251 Bill Foster Memorial Hwy
#B
Cabot, AR 72023
Phone (501) 941-3320

620 W Grove St
El Dorado, AR 71730
Phone (870) 862-0801

2725 Highway 25B
Heber Springs, AR 72543
Phone (501) 362-5800

2900 Hawkins Dr
Searcy, AR 72143
Phone (501) 278-2800

2000 16th St
Denver, CO 80202
Phone (253) 733-4500

5200 Virginia Way
Brentwood, TN 37027
Phone (615) 238-3085

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1700414703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 BILL FOSTER MEMORIAL HWY STE B",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720237200",
            "telephone_number": "501-941-3345",
            "fax_number": "501-941-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 BILL FOSTER MEMORIAL HWY STE B",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720237200",
            "telephone_number": "501-941-3345",
            "fax_number": "501-941-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "LINDSEY",
        "middle_name": "ALLISON",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "122354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabot, AR

Sources for this page

Verify at the official NPI Registry.