Elizabeth Puerta, CHW

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

270 Main St
Mammoth Spring, AR 72554-7466

Phone

(870) 625-3222

Fax

(870) 625-3216

NPI assigned

Apr 28, 2026

Last updated

Apr 28, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1777334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1740126069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "MAMMOTH SPRING",
            "state": "AR",
            "postal_code": "725540007",
            "telephone_number": "870-625-3222",
            "fax_number": "870-625-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 MAIN ST",
            "city": "MAMMOTH SPRING",
            "state": "AR",
            "postal_code": "725547466",
            "telephone_number": "870-625-3222",
            "fax_number": "870-625-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUERTA",
        "first_name": "ELIZABETH",
        "credential": "CHW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-28",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "AR",
            "license": "PT15743",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Wade Montgomery, QBHP/CASE MANAGER
• Rosemary Catherine Murdie, QBHP
• Ozarks Medical Center (Ozarks Healthcare Mammoth Spring)
• Teresa A Powers, MHPP
• Linda Prebble, RN, FNP
• Candis Ring
• Ronald Myers (Myers Pharmacy)
• Kimberly Simmons, QBHP
• Haley A Skaggs
• Chancey Joelle Smith

• Community Health Worker in Mammoth Spring, AR
• Providers in Mammoth Spring, AR by specialty
• Community Health Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.