NPIMap

Organization Active NPI

CSS Healthcare, LLC

  • Nurse Practitioner
  • El Dorado, AR
National Provider Identifier
1780105015
Registry record updated Jun 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
CSS HEALTHCARE, LLC
Practice address
525 W Faulkner St
El Dorado, AR 71730-4518
Phone
(870) 639-3910
Fax
(870) 639-3913
NPI assigned
Jun 27, 2017
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Melissa Langston
Title
Office Manager
Phone
(870) 639-3910

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

1007 Windover Rd
Jonesboro, AR 72401
Phone (870) 336-1530

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16477/brand/1/csg/1/fhir/r4

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

525 W Faulkner St
El Dorado, AR 71730-4518

Mailing address

PO Box 1384
El Dorado, AR 71731-1384
Phone (870) 639-3910

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 27, 2017.

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498521600000",
    "number": "1780105015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1384",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717311384",
            "telephone_number": "870-639-3910",
            "fax_number": "870-639-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W FAULKNER ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304518",
            "telephone_number": "870-639-3910",
            "fax_number": "870-639-3913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSS HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2017-06-27",
        "status": "A",
        "authorized_official_last_name": "LANGSTON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-639-3910",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2017; 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.