Que'Linda Ladawn Tillman-Wilson, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

216880 Issued in AR

Practice address

10 White Oak Dr
Conway, AR 72034-3444

Phone

(501) 232-3101

NPI assigned

Jul 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in AR, ID, TX, FL4 enrollments

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 4

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Forefront-Rush Medical Services PCGroup PAC ID 8628324878, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: que.linda.tillman-wilson.1@24287.direct.athenahealth.com

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.

• Forefront-Rush Medical Services PC

  • Psychiatry Physician
  • Little Rock, AR
  • NPI 1588152649
  Medicare reassignment Care Compare group NPD
• Tillman Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Conway, AR
  • NPI 1578454518
  Medicare reassignment NPD Authorized official
• Arcare

  • Federally Qualified Health Center (FQHC)
  • Augusta, AR
  • NPI 1275635542
  Medicare reassignment NPD
• Conway Behavioral Health, LLC

  • Psychiatry Physician
  • Conway, AR
  • NPI 1245728484
  Medicare reassignment NPD
• Access Telecare, PLLC

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1013303080

  AR, FL, ID

  Medicare reassignment NPD
• Forefront Telecare Inc

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1174035612

  FL, ID

  Medicare reassignment NPD
• Forefront-Rush Medical Service PA

  • Psychiatry Physician
  • Amarillo, TX
  • NPI 1083036651
  Medicare reassignment NPD
• Ipc Pac Healthcare Services of Missouri Inc

  • Hospitalist Physician
  • Sikeston, MO
  • NPI 1326497587

  AR

  Medicare reassignment NPD
• Public Health Trust of Miami Dade County Florida

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Opa-Locka, FL
  • NPI 1063417483
  Medicare reassignment NPD
• Thrive Counseling LLC

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300

  AR

  Medicare reassignment NPD
• Public Health Trust of Miami Dade County Florida

  • Hospitalist Physician
  • Miami, FL
  • NPI 1043395460
  Medicare reassignment
• Public Health Trust of Miami Dade County Florida

  • General Practice Physician
  • Miami, FL
  • NPI 1134384423
  Medicare reassignment

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1821661802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WHITE OAK DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343444",
            "telephone_number": "501-232-3101",
            "fax_number": "615-334-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WHITE OAK DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343444",
            "telephone_number": "501-232-3101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2003 Kootenai Health Way",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838146051",
            "country_code": "US",
            "telephone_number": "208-625-5084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILLMAN-WILSON",
        "first_name": "QUE'LINDA",
        "middle_name": "LADAWN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "216880",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R100218",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "79277",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11027870",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya Tidwell, LAC
• Jennifer Tierney, LMSW
• Tilley Family Medicine, PA
• James Bradley Tilley, M.D.
• Tillman Psychiatry LLC
• Noah Gaven Tindall
• Regenia Tindall, CASE MANAGER PARA PR
• Jodie Tipton, LAC
• Brittany Nicole Titsworth, PTA
• TLC Pediatrics, PLLC

• Psychiatric/Mental Health Nurse Practitioner in Conway, AR
• Providers in Conway, 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 Feb 10, 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.
• 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.