Active NPI
Leigh Anne Shockley, MSN-APRN
- Family Nurse Practitioner
- Gurdon, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A004623
- Practice address
- 200 E Walnut St
Gurdon, AR 71743-1256 - Phone
- (870) 353-2800
- NPI assigned
- Jan 27, 2016
- Last updated
- Oct 12, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A004623 | AR | Primary |
Addresses
Primary practice location
200 E Walnut St
Gurdon, AR 71743-1256
Mailing address
109 Cypress CT
Arkadelphia, AR 71923-9388
Phone (620) 203-8440
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Health
Practice addresses (Care Compare)
200 E Walnut
Gurdon, AR 71743-1256
Phone (870) 353-2800
200 E Walnut St
Gurdon, AR 71743-1256
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A004623 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health | Current | Accepting new patients | |
| Baptist Health | Current | Accepting new patients | |
| Baptist Health | Current | Accepting new patients | |
| Baptist Health | Current | Accepting new patients | |
| Baptist Health | Current | Accepting new patients | |
| Baptist Health | Current | Accepting new patients | |
| Arkansas Cardiology | Past | Accepting new patients |
Locations
2913 Cypress Rd
Ste 100
Arkadelphia, AR 71923
Phone (870) 246-2471
6679 Highway 7
Bismarck, AR 71929
Phone (501) 332-1004
10 Montgomery Dr
Caddo Valley, AR 71923
Phone (870) 245-2198
200 E Walnut St
Gurdon, AR 71743
Phone (870) 353-2800
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
1484 W 1st St N
Ste 2
Prescott, AR 71857
Phone (870) 887-0155
Interoperability endpoints
- lshockley125966@direct.baptist-healthar.org
Organizations & group practices 7
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.
-
dba Baptist Health Family Clinic - Prescott
- Rural Health Clinic/Center
- Prescott, AR
- NPI 1518356112
-
dba Baptist Health Family Clinic - Caddo Valley
- Rural Health Clinic/Center
- Caddo Valley, AR
- NPI 1528478955
-
dba Baptist Health Family Clinic - Bismarck
- Rural Health Clinic/Center
- Bismarck, AR
- NPI 1780094201
-
dba Baptist Health Family Clinic Gurdon
- Rural Health Clinic/Center
- Gurdon, AR
- NPI 1841598919
-
dba BH Arkadelphia Medical Clinic
- Rural Health Clinic/Center
- Arkadelphia, AR
- NPI 1861018111
-
dba BH Cancer Center - Heber Springs
- Multi-Specialty Clinic/Center
- Heber Springs, AR
- NPI 1932081221
-
- Cardiovascular Disease Physician
- Little Rock, AR
- NPI 1003862848
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Medical Center-Arkadelphia
- Critical Access Hospital
- Arkadelphia, AR
- NPI 1174553796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602460800000",
"number": "1730546276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 CYPRESS CT",
"city": "ARKADELPHIA",
"state": "AR",
"postal_code": "719239388",
"telephone_number": "620-203-8440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E WALNUT ST",
"city": "GURDON",
"state": "AR",
"postal_code": "717431256",
"telephone_number": "870-353-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOCKLEY",
"first_name": "LEIGH",
"middle_name": "ANNE",
"credential": "MSN-APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-27",
"last_updated": "2020-10-12",
"certification_date": "2020-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "A004623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gurdon, AR
- Yanira Harper, QBHP
- Hours of Joy Child Care Inc. (Health Care Services)
- Hours of Joy Child Care Inc. (Linda Harris)
- Sara Elizabeth Liggin, SLP
- Laura Lucia Rivera, COTA/L
- Superintendent of Gurdon High School
- Jordan Lindsey Swayze, APRN
- Larry Roy Thomerson, RPH
- Lajarlyn Rose Wesley, RN
- William R. Capps, DDS; PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.