Individual provider Active NPI

Truphena Nyaboke Oroo

  • Adult Health Nurse Practitioner
  • Springdale, AR
National Provider Identifier
1710363775
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
A004479 Issued in AR
Practice address
2274 Lakeside Ave
Springdale, AR 72764-7213
Phone
(479) 422-8509
NPI assigned
Jul 31, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X A004479 AR
Gerontology Nurse Practitioner 363LG0600X A004479 AR
Adult Health Nurse Practitioner 363LA2200X A004479 AR Primary

Addresses

Primary practice location

2274 Lakeside Ave
Springdale, AR 72764-7213

Mailing address

2274 Lakeside Ave
Springdale, AR 72764-7213
Phone (479) 422-8509

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
I20160125001063 AR Practitioner - Nurse Practitioner 3173826294 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sgoh Acquisition Inc CurrentSince Sep 1, 2023 Accepting new patients
Sgoh Acquisition Inc CurrentSince Sep 1, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Nov 18, 2022 Accepting new patients
Icarepro of Texas, PA PastSince Dec 9, 2015 Accepting new patients

Locations

1101 Jackson St SW
Gravette, AR 72736
Phone (479) 787-5221

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1710363775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2274 LAKESIDE AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727647213",
            "telephone_number": "479-422-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2274 LAKESIDE AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727647213",
            "telephone_number": "479-422-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OROO",
        "first_name": "TRUPHENA",
        "middle_name": "NYABOKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-31",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AR",
            "license": "A004479",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AR",
            "license": "A004479",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AR",
            "license": "A004479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.