Active NPI
Rosemary Patricia Spring, APN
- Gerontology Nurse Practitioner
- Fort Smith, AR
National Provider Identifier
1770874158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- R 72800
- Practice address
- 12300 Highway 71 S Ste a
Fort Smith, AR 72916-9474 - Phone
- (479) 755-6595
- NPI assigned
- Apr 20, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | A03538 | AR | |
| Gerontology Nurse Practitioner | 363LG0600X | R 72800 | OK | Primary |
Addresses
Primary practice location
12300 Highway 71 S Ste a
Fort Smith, AR 72916-9474
Mailing address
52450 Ridge Rd
Talihina, OK 74571-1408
Phone (479) 243-4993
Other practice location 1
52450 Ridge Rd
Talihina, OK 74571-1408
Phone (479) 243-4993
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A03538 | Other | AR | APN LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A03538 | AR | MD | Gerontology Nurse Practitioner |
| R 72800 | OK | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icp Arkansas Aco Billing LLC | Current | Accepting new patients | |
| Icarepro of Texas, PA | Past | Accepting new patients |
Locations
8050 Counts Massie Rd
Ste B
Maumelle, AR 72113
Phone (501) 492-0099
Organizations & group practices 2
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.
-
- Clinical Nurse Specialist
- Maumelle, AR
- NPI 1679157838
-
- Clinical Nurse Specialist
- Texarkana, TX
- NPI 1396193066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1770874158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52450 RIDGE RD",
"city": "TALIHINA",
"state": "OK",
"postal_code": "745711408",
"telephone_number": "479-243-4993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12300 HIGHWAY 71 S STE A",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729169474",
"telephone_number": "479-755-6595"
}
],
"practiceLocations": [
{
"address_1": "52450 Ridge Rd",
"address_purpose": "LOCATION",
"city": "Talihina",
"state": "OK",
"postal_code": "745711408",
"country_code": "US",
"telephone_number": "479-243-4993",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPRING",
"first_name": "ROSEMARY",
"middle_name": "PATRICIA",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-20",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "AR",
"license": "A03538",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OK",
"license": "R 72800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APN LICENSE",
"identifier": "A03538",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.