NPIMap

Individual provider Active NPI

Misty Ann Douthit

  • Family Nurse Practitioner
  • Pine Bluff, AR
National Provider Identifier
1790914927
Registry record updated Jul 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A03263 ANP Issued in AR
Practice address
4720 Dollarway Rd
Pine Bluff, AR 71602-4126
Phone
(870) 536-3279
NPI assigned
Jul 9, 2009
Last updated
Jul 9, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2009

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 A03263 ANP AR Primary

Addresses

Primary practice location

4720 Dollarway Rd
Pine Bluff, AR 71602-4126

Mailing address

4720 Dollarway Rd
Pine Bluff, AR 71602-4126

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
I20090909000736 AR Practitioner - Nurse Practitioner 0840345179 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist HealthGroup PAC ID 0648177949, 106 clinicians

Practice addresses (Care Compare)

104 W Taylor St
BHFC Sparkman
Sparkman, AR 71763-8938
Phone (870) 678-4010

651 Heritage Dr
Sheridan, AR 72150-5000
Phone (870) 942-9833

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A03263 ANPARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Health Group Current Accepting new patients
Arkansas Health Group CurrentSince Oct 21, 2019 Accepting new patients
Baptist Health CurrentSince Mar 18, 2024 Accepting new patients
Arkansas Health Group CurrentSince Jan 12, 2014 Accepting new patients
Baptist Health CurrentSince Mar 18, 2024 Accepting new patients
Baptist Health Past Accepting new patients

Locations

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

1002 Schneider Dr
Ste 104
Malvern, AR 72104
Phone (501) 332-7981

21 Opportunity Dr
Sheridan, AR 72150
Phone (870) 842-9835

104 W Taylor St
Sparkman, AR 71763
Phone (870) 678-2226

7500 Dollarway Rd
Ste 104
White Hall, AR 71602
Phone (870) 247-7632

Interoperability endpoints

  • Direct secure messaging: mdouthit66631@direct.baptist-healthar.org

Organizations & group practices 6

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.

Hospital & facility affiliations 8

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": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247097600000",
    "number": "1790914927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 DOLLARWAY RD",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716024126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 DOLLARWAY RD",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716024126",
            "telephone_number": "870-536-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUTHIT",
        "first_name": "MISTY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-09",
        "last_updated": "2009-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A03263 ANP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

Verify at the official NPI Registry.