NPIMap

Individual provider Active NPI

Sydnie Thessing, APRN

  • Family Nurse Practitioner
  • Conway, AR
National Provider Identifier
1780191015
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A005443 Issued in AR
Practice address
605 Dave Ward Drive #105
Conway, AR 72034
Phone
(501) 504-6270
NPI assigned
Jan 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ATP-001239 AR
Family Nurse Practitioner 363LF0000X A005443 AR Primary

Addresses

Primary practice location

605 Dave Ward Drive #105
Conway, AR 72034

Mailing address

2850 Stone Wood Dr
Conway, AR 72034-6746
Phone (501) 733-9056

Other practice location 1

7 Shackleford West Blvd
Little Rock, AR 72211-3886
Phone (501) 664-5860

Other names 1

  • Sydnie Moix Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180207000317 AR Practitioner - Nurse Practitioner 5193085413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Heart Hospital LLCGroup PAC ID 6002838653, 85 clinicians
Arkansas Heart Hospital Rural Health Services, LLCGroup PAC ID 6204004815, 52 clinicians

Practice addresses (Care Compare)

7 Shackleford W Blvd
Little Rock, AR 72211-3886
Phone (501) 664-5860

Hospital & facility affiliations

  • Arkansas Heart Hospital, LLC Hospital, Little Rock, AR, CCN 040134
  • Conway Regional Medical Center, Inc Hospital, Conway, AR, CCN 040029
  • Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114
  • University of Arkansas Medical Sciences Hospital, Little Rock, AR, CCN 040016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ATP-001239ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Heart Hospital Rural Health Services, LLC CurrentSince Jan 4, 2018 Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince Jan 4, 2018 Accepting new patients
Arkansas Heart Hospital, LLC CurrentSince Jan 4, 2018 Accepting new patients
Westwind Medical Associates PA PastSince Jul 1, 2010 Accepting new patients

Locations

605 Dave Ward Dr
Ste 105
Conway, AR 72034
Phone (501) 504-6270

7 Shackleford West Blvd
Little Rock, AR 72211
Phone (501) 614-3671

209 S Portland Ave
Unit 2
Russellville, AR 72801
Phone (479) 967-0690

Organizations & group practices 4

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1780191015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 STONE WOOD DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346746",
            "telephone_number": "501-733-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 DAVE WARD DRIVE #105",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "72034",
            "telephone_number": "501-504-6270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Shackleford West Blvd",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722113886",
            "country_code": "US",
            "telephone_number": "501-664-5860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THESSING",
        "first_name": "SYDNIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "ATP-001239",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYDNIE",
            "last_name": "MOIX",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.