Individual provider Active NPI

Heather Proctor

  • Family Nurse Practitioner
  • Coal Hill, AR
National Provider Identifier
1740057074
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
213994 Issued in AR
Practice address
1273 E Highway 64
Coal Hill, AR 72832-8862
Phone
(479) 279-7676
Fax
(479) 279-7678
NPI assigned
Dec 6, 2023
Last updated
Mar 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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 213994 AR Primary

Addresses

Primary practice location

1273 E Highway 64
Coal Hill, AR 72832-8862

Mailing address

1273 E Highway 64
Coal Hill, AR 72832-8862
Phone (479) 279-7676

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
I20251205001996 AR Practitioner - Nurse Practitioner 1658864863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1273 E Hwy 64
Coal Hill, AR 72832-8862
Phone (479) 279-7676

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
213994ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
River Valley Primary Care Services CurrentSince Oct 1, 2025 Accepting new patients
River Valley Primary Care Services CurrentSince Oct 1, 2025 Accepting new patients
River Valley Primary Care Services Current Accepting new patients

Locations

1273 E Highway 64
Coal Hill, AR 72832
Phone (479) 279-7670

635 Childers Ave
Lamar, AR 72846
Phone (479) 668-4881

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.

Hospital & facility affiliations 3

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": "1701820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1740057074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1273 E HIGHWAY 64",
            "city": "COAL HILL",
            "state": "AR",
            "postal_code": "728328862",
            "telephone_number": "479-279-7676",
            "fax_number": "479-279-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1273 E HIGHWAY 64",
            "city": "COAL HILL",
            "state": "AR",
            "postal_code": "728328862",
            "telephone_number": "479-279-7676",
            "fax_number": "479-279-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCTOR",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-06",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "213994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coal Hill, AR

Sources for this page

Verify at the official NPI Registry.