Individual provider Active NPI

Stephanie Rittman, APRN

  • Family Nurse Practitioner
  • Conway, AR
National Provider Identifier
1730851775
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-CNP215197 Issued in AR
Practice address
2300 Robinson Ave
Conway, AR 72034-4945
Phone
(501) 548-6100
Fax
(501) 548-6105
NPI assigned
Sep 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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 APRN-CNP215197 AR Primary

Addresses

Primary practice location

2300 Robinson Ave
Conway, AR 72034-4945

Mailing address

PO Box 9662
Conway, AR 72033-9662
Phone (501) 852-1363

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
I20211117002281 AR Practitioner - Nurse Practitioner 4981093606 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conway Regional Medical Center IncGroup PAC ID 3173428414, shared by 26 NPIs, 129 clinicians

Practice addresses (Care Compare)

2300 Robinson Ave
Conway, AR 72034-4945
Phone (501) 548-6100

437 Denison St
Conway, AR 72034-6127
Phone (501) 327-1325

Hospital & facility affiliations

  • Conway Regional Medical Center, Inc Hospital, Conway, AR, CCN 040029

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-CNP215197ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Regional Medical Center Inc Current Accepting new patients
Conway Regional Medical Center Inc CurrentSince Dec 1, 2022 Accepting new patients
Conway Regional Medical Center, Inc CurrentSince Mar 1, 2022 Accepting new patients
Conway Regional Medical Center Inc CurrentSince Mar 1, 2022 Accepting new patients
Conway Regional Medical Center Inc CurrentSince Mar 1, 2022 Accepting new patients

Locations

2526 Highway 65 S
Ste 201
Clinton, AR 72031
Phone (501) 745-3388

2526 Highway 65 S
Ste 203
Clinton, AR 72031
Phone (501) 745-4914

1700 Altus St
Ste 110
Conway, AR 72032
Phone (501) 852-1366

1 Medical Ln
Conway, AR 72034
Phone (501) 329-2948

2300 Robinson Ave
Conway, AR 72034
Phone (501) 548-6100

437 Denison St
Ste 2
Conway, AR 72034
Phone (501) 504-2330

437 Denison St
Conway, AR 72034
Phone (501) 327-1325

110 N Broadview St
Greenbrier, AR 72058
Phone (501) 679-3551

606 Highway 365
Mayflower, AR 72106
Phone (501) 358-6905

108 Skyline Dr
Russellville, AR 72801
Phone (479) 968-7170

1159 Main St
Vilonia, AR 72173
Phone (501) 796-2791

1122 Main St
Ste 7
Vilonia, AR 72173
Phone (501) 796-2791

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1730851775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9662",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720339662",
            "telephone_number": "501-852-1363",
            "fax_number": "501-852-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 ROBINSON AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720344945",
            "telephone_number": "501-548-6100",
            "fax_number": "501-548-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITTMAN",
        "first_name": "STEPHANIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "APRN-CNP215197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.