Shelly Rae Eastridge, APRN-CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

120295 Issued in AR

Practice address

108 South Madden
Foreman, AR 71836

Phone

(870) 584-3000

Fax

(870) 584-3003

NPI assigned

Jun 10, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FEFHCA

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.

• Randy D. Walker, M.D., P.L.L.C.

  • Family Medicine Physician
  • De Queen, AR
  • NPI 1114185121
  NPD (past)

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1790344166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 SOUTH MADDEN",
            "city": "FOREMAN",
            "state": "AR",
            "postal_code": "71836",
            "telephone_number": "870-584-3000",
            "fax_number": "870-584-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 SOUTH MADDEN",
            "city": "FOREMAN",
            "state": "AR",
            "postal_code": "71836",
            "telephone_number": "870-584-3000",
            "fax_number": "870-584-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTRIDGE",
        "first_name": "SHELLY",
        "middle_name": "RAE",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "120295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitley Nicole Caskey, LPN
• Sonja Renee Cowan
• Lydia Christene Dickson
• Joy Ann Ferrier, APRN, FNP-BC
• Foreman Pharmacy Inc
• Foreman School District #25
• Travis Frinzell
• Kayla Bell Jackson, OTR/L

• Family Nurse Practitioner in Foreman, AR
• Providers in Foreman, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.