Individual provider Active NPI

Tanya Sue Stark

  • Licensed Practical Nurse
  • Jonesboro, AR
National Provider Identifier
1710899885
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
L22508 Issued in AR
Practice address
2305 Promise Lane Rd
Jonesboro, AR 72401-6522
Phone
(870) 910-7831
Fax
(870) 576-4801
NPI assigned
Sep 22, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X L22508 AR Primary

Addresses

Primary practice location

2305 Promise Lane Rd
Jonesboro, AR 72401-6522

Mailing address

2118 E Lawson Rd
Jonesboro, AR 72404-8257
Phone (870) 450-3983

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1710899885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 E LAWSON RD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724048257",
            "telephone_number": "870-450-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 PROMISE LANE RD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016522",
            "telephone_number": "870-910-7831",
            "fax_number": "870-576-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "TANYA",
        "middle_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AR",
            "license": "L22508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.