Individual provider Active NPI

Rosemary Patricia Spring, APN

  • Gerontology Nurse Practitioner
  • Fort Smith, AR
National Provider Identifier
1770874158
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
R 72800 Issued in OK
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
A03538OtherARAPN 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

LicenseStateTypeSpecialty
A03538ARMDGerontology Nurse Practitioner
R 72800OKMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Icp Arkansas Aco Billing LLC CurrentSince May 7, 2021 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.

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.

Verify at the official NPI Registry.