Individual provider Active NPI

Dena Deann McClendon, APRN, FNP-C

  • Family Nurse Practitioner
  • Texarkana, AR
National Provider Identifier
1730887142
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
223401 Issued in AR
Practice address
422 Beech St
Texarkana, AR 71854-5310
Phone
(870) 773-1111
Fax
(870) 772-1354
NPI assigned
Feb 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 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 223401 AR Primary

Addresses

Primary practice location

422 Beech St
Texarkana, AR 71854-5310

Mailing address

422 Beech St
Texarkana, AR 71854-5310
Phone (870) 773-1111

Other practice location 1

407 W 16th St
Hope, AR 71801-7104
Phone (870) 777-1700

Other practice location 2

1411 N Jackson
Magnolia, AR 71753-2017
Phone (870) 234-4945

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
I20260624003871 AR Practitioner - Nurse Practitioner 8022581750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

317 6TH Ave
Suite 400
Des Moines, IA 50309-4037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
223401ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texarkana Kidney Disease & Hypertension Center, Inc. Past Accepting new patients
Texarkana Kidney Disease & Hypertension Center, Inc. Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1730887142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 BEECH ST",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718545310",
            "telephone_number": "870-773-1111",
            "fax_number": "870-772-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 BEECH ST",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718545310",
            "telephone_number": "870-773-1111",
            "fax_number": "870-772-1354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "407 W 16th St",
            "address_purpose": "LOCATION",
            "city": "Hope",
            "state": "AR",
            "postal_code": "718017104",
            "country_code": "US",
            "telephone_number": "870-777-1700",
            "fax_number": "870-777-1700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1411 N Jackson",
            "address_purpose": "LOCATION",
            "city": "Magnolia",
            "state": "AR",
            "postal_code": "717532017",
            "country_code": "US",
            "telephone_number": "870-234-4945",
            "fax_number": "870-234-4945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLENDON",
        "first_name": "DENA",
        "middle_name": "DEANN",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "223401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, AR

Sources for this page

Verify at the official NPI Registry.