Individual provider Active NPI

Toni Stephens, NP

  • Family Nurse Practitioner
  • Eudora, AR
National Provider Identifier
1790137867
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004813 Issued in AR
Practice address
579 E Beouff St
Eudora, AR 71640
Phone
(870) 355-2512
Fax
(855) 754-0598
NPI assigned
Jul 12, 2016
Last updated
Jun 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A004813 AR Primary

Addresses

Primary practice location

579 E Beouff St
Eudora, AR 71640

Mailing address

PO Box 509
Dermott, AR 71638-0509
Phone (870) 538-5414

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address toni.stephens@mhsi.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, LA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161003000617 AR Practitioner - Nurse Practitioner 0143517383 Practice locations: Batesville, AR; Hot Springs, AR; Jonesboro, AR; Little Rock, AR; Lonoke, AR; Ola, AR; Ozark, AR; Paris, AR…
I20180111000105 LA Practitioner - Nurse Practitioner 0143517383 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Icp Louisiana Aco Billing LLC CurrentSince Jan 16, 2024 Accepting new patients
East Carroll Parish Hospital CurrentSince Jan 25, 2023 Accepting new patients
East Carroll Parish Hospital CurrentSince Jan 25, 2023 Accepting new patients

Locations

3301 W Main Pl
Russellville, AR 72801
Phone (855) 498-6768

336 N Hood St
Lk Providence, LA 71254
Phone (318) 559-4023

333 Texas St
Ste 1300
Shreveport, LA 71101
Phone (318) 723-9341

Interoperability endpoints

  • Direct secure messaging: toni.stephens.1@11988.direct.athenahealth.com
  • Direct secure messaging: toni.stephens@mhsi.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1790137867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 509",
            "city": "DERMOTT",
            "state": "AR",
            "postal_code": "716380509",
            "telephone_number": "870-538-5414",
            "fax_number": "870-538-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 E BEOUFF ST",
            "city": "EUDORA",
            "state": "AR",
            "postal_code": "71640",
            "telephone_number": "870-355-2512",
            "fax_number": "855-754-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "TONI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "toni.stephens@mhsi.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "579 E Beouff St",
            "city": "Eudora",
            "state": "AR",
            "country_code": "US",
            "postal_code": "71640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eudora, AR

Sources for this page

Verify at the official NPI Registry.