Tabatha Gail Vocque, APRN
Individual provider Active NPI Family Nurse Practitioner · Hensley, AR
NPI 1740869007 · NPPES record last updated May 31, 2024
Key facts
- NPI
- 1740869007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 215157 (AR)
- Practice address
- 24005 Arch Street Pike Ste 16
Hensley, AR 72065-5010 - Phone
- (501) 475-8021
- Fax
- (866) 485-0549
- NPI assigned
- Apr 5, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
24005 Arch St Pike
Suite 16
Hensley, AR 72065-5010
Phone (501) 475-8021
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210831000169 | AR | Practitioner - Nurse Practitioner | 7315343324 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 215157 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care 360 | Family Medicine | Current |
Accepting new patients |
| Vocque Medical Solutions LLC | Family | Current |
Accepting new patients |
| American Hope and Health Clinic Associates LLC | Current |
Accepting new patients |
Locations
24005 Arch Street Pike
Ste 16
Hensley, AR 72065
Phone (501) 475-8021
3012 E Woodson Lateral Rd
Hensley, AR 72065
Phone (501) 475-8021
100 Shadow Oaks Dr
Sherwood, AR 72120
Phone (501) 918-9192
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 215157 | AR | |
| Nurse Practitioner | 363L00000X | 215157 | AR | |
| Family Nurse Practitioner | 363LF0000X | 215157 | AR | Yes |
Addresses
Primary practice location
24005 Arch Street Pike Ste 16
Hensley, AR 72065-5010
Mailing address
18614 Philis Dr
Hensley, AR 72065-9781
Phone (501) 475-8021
Other providers in Hensley, AR
- Melissa Ann Shepard
- Synolo Wellness
- Nita Larae Thurman
- Vocque Medical Solutions LLC
- Joshua Robert Vocque
- Robert E Walton
- Leslie R. Whitefield
- Woodson Pharmacy LLC
All providers in Hensley, AR · Family Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.