Individual provider Active NPI

Heather Deann Spoon, APN

  • Family Nurse Practitioner
  • Brinkley, AR
National Provider Identifier
1790802809
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A002985 Issued in AR
Practice address
615 N Main St
Brinkley, AR 72021-2507
Phone
(870) 734-1150
Fax
(870) 734-1179
NPI assigned
Mar 23, 2007
Last updated
Jul 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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 A002985 AR Primary

Addresses

Primary practice location

615 N Main St
Brinkley, AR 72021-2507

Mailing address

PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2534

Other practice location 1

1609 N Medical Dr
Stuttgart, AR 72160-3274
Phone (870) 673-7211

Other practice location 2

1010 N Center St
Lonoke, AR 72086-2005
Phone (501) 438-8075

Other identifiers 9

IdentifierTypeStateIssuer
201477729MedicaidAR
201479729MedicaidAR
100907002MedicaidAR
136428729MedicaidAR
129734729MedicaidAR
129735729MedicaidAR
201478729MedicaidAR
201481729MedicaidAR
201482729MedicaidAR

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130705000207 AR Practitioner - Nurse Practitioner 5294975702 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ArcareGroup PAC ID 2567370620, 249 clinicians

Practice addresses (Care Compare)

106 N Van Buren St
Weiner, AR 72479-9289
Phone (870) 605-0014

125 Oak St
Cotton Plant, AR 72036-5089
Phone (870) 459-3588

1503 Main St
Des Arc, AR 72040-3299
Phone (870) 256-4176

400 Hwy 64 E
Augusta, AR 72006-5150
Phone (870) 347-2508

615 N Main
Arcare 70
Brinkley, AR 72021-2507
Phone (870) 734-1153

623 N 9TH St
Augusta, AR 72006-2129
Phone (870) 347-2534

705 Hwy 63 N
Hazen, AR 72064-8054
Phone (870) 255-3696

821 E Park St
Arcare 17
Carlisle, AR 72024-9024
Phone (870) 552-7303

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Access Medical Clinic Arkansas LTC LLC Current Accepting new patients
Access Medical Clinic Arkansas LTC LLC CurrentSince Mar 1, 2025 Accepting new patients
Arcare Current Accepting new patients
Grand Prairie Medical Group, PLLC CurrentSince Jan 14, 2016 Accepting new patients
Arcare CurrentSince Jul 9, 2025 Accepting new patients
Access Medical Clinic Arkansas LTC LLC CurrentSince Mar 1, 2025 Accepting new patients
Arcare CurrentSince Jul 9, 2025 Accepting new patients

Locations

623 N 9th St
#40
Augusta, AR 72006

615 N Main St
Brinkley, AR 72021
Phone (870) 734-1100

1012 E 22nd St
Stuttgart, AR 72160
Phone (870) 672-0911

106 N Van Buren St
Weiner, AR 72479
Phone (870) 605-0014

Interoperability endpoints

  • Direct secure messaging: heather.spoon@arcare.directbygreenway.com

Organizations & group practices 7

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1790802809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720060497",
            "telephone_number": "870-347-2534",
            "fax_number": "870-301-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N MAIN ST",
            "city": "BRINKLEY",
            "state": "AR",
            "postal_code": "720212507",
            "telephone_number": "870-734-1150",
            "fax_number": "870-734-1179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1609 N Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Stuttgart",
            "state": "AR",
            "postal_code": "721603274",
            "country_code": "US",
            "telephone_number": "870-673-7211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 N Center St",
            "address_purpose": "LOCATION",
            "city": "Lonoke",
            "state": "AR",
            "postal_code": "720862005",
            "country_code": "US",
            "telephone_number": "501-438-8075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPOON",
        "first_name": "HEATHER",
        "middle_name": "DEANN",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A002985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201477729",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201479729",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100907002",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136428729",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129734729",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129735729",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201478729",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201481729",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201482729",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brinkley, AR

Sources for this page

Verify at the official NPI Registry.