Dorlisa A Taper, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

219480 Issued in AR

Practice address

708 W Main St
Clarksville, AR 72830-3411

Phone

(479) 668-3282

NPI assigned

Apr 14, 2022

Last updated

Apr 14, 2022By the provider in NPPES

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

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

River Valley Primary Care ServicesGroup PAC ID 0042274276, 39 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dtaper596141@direct.ochin.org

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.

• River Valley Primary Care Services

  • Federally Qualified Health Center (FQHC)
  • Ratcliff, AR
  • NPI 1952349003
  Medicare reassignment Care Compare group NPD
• River Valley Primary Care Services

  dba Mountainburg Community Pharmacy

  • Community/Retail Pharmacy
  • Mountainburg, AR
  • NPI 1164222113
  NPD
• River Valley Primary Care Services

  dba Northside Clinic at 6th Street

  • Federally Qualified Health Center (FQHC)
  • Fort Smith, AR
  • NPI 1568647519
  NPD

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1811630304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 ASHBROOK LN # A",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728022348",
            "telephone_number": "479-857-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 W MAIN ST",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728303411",
            "telephone_number": "479-668-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAPER",
        "first_name": "DORLISA",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "219480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Email",
            "affiliation": "N",
            "address_1": "708 W Main St",
            "city": "Clarksville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "728303411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• State of Arkansas (Johnson County Health Unit)
• Marion Middlekamp Stowers, M.D.
• Joshua Stumbaugh, RECOVERY ASSISTANT
• Angela Rose Styles, M.D.
• Rayford Lee Tackett
• Zachary Taylor, PHARMD
• Jonathan Teague
• Cheyeene A Terry
• Tamara Tharp
• The Guidance Center - RCF Clarksville (WACGC-RCF Clarksville)

• Psychiatric/Mental Health Nurse Practitioner in Clarksville, AR
• Providers in Clarksville, AR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.