Erica Elliott Brumley, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A005285 Issued in AR

Practice address

608 S Highway 65 82 Ste C
Lake Village, AR 71653-1744

Phone

(870) 265-9810

Fax

(870) 265-9813

NPI assigned

Jul 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA, AR2 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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast Rehab LLC. 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Chicot Memorial Medical Center Home Health Agenc Home health agency, Lake Village, AR, CCN 047104
• Chicot Memorial Medical Center Hospital, Lake Village, AR, CCN 041328
• Delta Health System - the Medical Center Hospital, Greenville, MS, CCN 250082
• Southeast Rehabilitation Hospital Inpatient rehabilitation facility, Lake Village, AR, CCN 043034

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Southeast Rehab LLC.

  • Gerontology Nurse Practitioner
  • Lake Village, AR
  • NPI 1295276970

  AR

  Medicare reassignment Care Compare group NPD
• Sterlington Critical Access Hospital L.L.C

  • Medical Physician Assistant
  • Bastrop, LA
  • NPI 1679935928

  Family, LA

  Medicare reassignment NPD
• Southeast Rehab LLC

  • Rehabilitation Hospital
  • Lake Village, AR
  • NPI 1700959905
  Care Compare group NPD
• Southeast Rehab LLC

  • Rural Health Clinic/Center
  • Lake Village, AR
  • NPI 1194358523
  Care Compare group NPD (past)
• Sterlington Critical Access Hospital, L.L.C.

  • Rehabilitation Hospital
  • Bastrop, LA
  • NPI 1942257423
  NPD
• Sterlington Critical Access Hospital, LLC

  • Rural Health Clinic/Center
  • Sterlington, LA
  • NPI 1134243736
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Chicot Memorial Medical Center

  • Rural Health Clinic/Center
  • Lake Village, AR
  • NPI 1003213281

  Hospital

  Care Compare affiliation
• Chicot Memorial Medical Center

  • Clinic/Center
  • Lake Village, AR
  • NPI 1104238179

  Hospital

  Care Compare affiliation
• Chicot Memorial Medical Center

  • Critical Access Hospital
  • Lake Village, AR
  • NPI 1235453192

  Hospital

  Care Compare affiliation
• Chicot Memorial Medical Center

  • Home Health Agency
  • Lake Village, AR
  • NPI 1568787059
  Care Compare affiliation
• Chicot Memorial Medical Center

  • Clinic/Center
  • Lake Village, AR
  • NPI 1841602810

  Hospital

  Care Compare affiliation
• Southeast Rehab LLC

  • Rehabilitation Hospital
  • Lake Village, AR
  • NPI 1700959905

  Inpatient rehabilitation facility

  Care Compare affiliation
• Delta Health System

  • Oncology Clinic/Center
  • Greenville, MS
  • NPI 1184232498

  Hospital

  Care Compare affiliation
• Delta Health System

  • Rural Acute Care Hospital
  • Greenville, MS
  • NPI 1306921887

  Hospital

  Care Compare affiliation
• Delta Health System

  • Oncology Clinic/Center
  • Clarksdale, MS
  • NPI 1578171872

  Hospital

  Care Compare affiliation
• Delta Health System

  • Oncology Clinic/Center
  • Cleveland, MS
  • NPI 1972112183

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1710409883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 849",
            "city": "OAK GROVE",
            "state": "LA",
            "postal_code": "712630849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 S HIGHWAY 65 82 STE C",
            "city": "LAKE VILLAGE",
            "state": "AR",
            "postal_code": "716531744",
            "telephone_number": "870-265-9810",
            "fax_number": "870-265-9813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 West Davenport Ave.",
            "address_purpose": "LOCATION",
            "city": "Mer Rouge",
            "state": "LA",
            "postal_code": "71261",
            "country_code": "US",
            "telephone_number": "318-647-3412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10374 Highway 165 N",
            "address_purpose": "LOCATION",
            "city": "Sterlington",
            "state": "LA",
            "postal_code": "712803320",
            "country_code": "US",
            "telephone_number": "318-665-9950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUMLEY",
        "first_name": "ERICA",
        "middle_name": "ELLIOTT",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09412",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED NURSE PRACTIONER",
            "identifier": "A005285",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Ballinger Brantley, OTR/L
• Lauren Lott Brocato, RD, LD
• Valerie Karlena Brooks, OTA
• Courtney Brown
• Luanne Brown
• Angela Buford
• Dana K. Burden
• John P. Burge, MD
• Tammy Carter, CASE MANAGER COORDIN
• Cynthia Rose Charleston, MHPP

• All providers in Lake Village, AR
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.