Active NPI
Carrie Ann Hickmon, NP
- Family Nurse Practitioner
- Bentonville, AR
National Provider Identifier
1811550031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A006183
- Practice address
- 609 SW 8TH St FL 6
Bentonville, AR 72712-7886 - Phone
- (337) 991-9276
- Fax
- (337) 943-0846
- NPI assigned
- Apr 15, 2019
- Last updated
- Apr 15, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A006183 | AR | Primary |
Addresses
Primary practice location
609 SW 8TH St FL 6
Bentonville, AR 72712-7886
Mailing address
1509 Dulles Dr
Lafayette, LA 70506-3718
Phone (337) 991-9276
Other names 1
- Carrie Ann Layton
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curana Health of Arkansas LLC | Family | Current | Accepting new patients |
Locations
609 SW 8th St
Fl 6
Bentonville, AR 72712
Phone (479) 349-2579
1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803
Organizations & group practices 1
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": "1555286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555286400000",
"number": "1811550031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 DULLES DR",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705063718",
"telephone_number": "337-991-9276",
"fax_number": "337-943-0846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 SW 8TH ST FL 6",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727127886",
"telephone_number": "337-991-9276",
"fax_number": "337-943-0846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKMON",
"first_name": "CARRIE",
"middle_name": "ANN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-15",
"last_updated": "2019-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "A006183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARRIE",
"last_name": "LAYTON",
"middle_name": "ANN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.