Aprn Medical LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

APRN MEDICAL LLC

Practice address

4253 N Crossover Rd
Fayetteville, AR 72703-4593

Phone

(479) 310-8197

NPI assigned

Apr 6, 2018

Organization subpart

No

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

Authorized official

Name

Tammie Michelle Smith, APRNNPI 1255546974

Title

Provider

Phone

(479) 422-0008

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Practitioners 2

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

• Tammie Michelle Smith, ACNS-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fayetteville, AR
  • NPI 1255546974
  Medicare reassignment Care Compare group NPD Authorized official
• Karen Christine Reynolds, FNP-BC

  • Family Nurse Practitioner
  • Fayetteville, AR
  • NPI 1063748101
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522972800000",
    "number": "1790282879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11920 DAVIS FORD RD.",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "72764",
            "telephone_number": "479-422-0008",
            "fax_number": "479-419-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4253 N CROSSOVER RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034593",
            "telephone_number": "479-310-8197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APRN MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TAMMIE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "479-422-0008",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Victoria Anthes, SLP
• Kathryn Elizabeth Antin, LPC-S, CEDS-S
• Ian K Antonio
• Apex Spine Joint & Wellness Inc
• Apex Therapy LLC
• Ar Periodontal & Implant Assoc
• Jennifer Georgina Araujo, MHPP
• Arcare
• Arcare
• Archway Therapy Services

• Health Service Clinic/Center in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Health Service Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.