Individual provider Active NPI

Hollie B Roseberry, APRN

  • Family Nurse Practitioner
  • Hot Springs, AR
National Provider Identifier
1831833383
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
216491 Issued in AR
Practice address
118 Womens Center LN
Hot Springs, AR 71913-6352
Phone
(501) 609-2229
NPI assigned
Apr 21, 2022
Last updated
Jun 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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 216491 AR Primary

Addresses

Primary practice location

118 Womens Center LN
Hot Springs, AR 71913-6352

Mailing address

1030 Cooper Rd
Malvern, AR 72104-8603
Phone (501) 337-6611

Other practice location 1

3915 W 8th St
Little Rock, AR 72204-2028
Phone (501) 280-3100

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
I20220705000710 AR Practitioner - Nurse Practitioner 9931589223 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216491ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CHI St. Vincent Medical Group Hot Springs CurrentSince Jun 5, 2023 Accepting new patients
Hot Springs MRI Center PastSince Jun 25, 2023 Accepting new patients

Locations

3004 Pine St
Arkadelphia, AR 71923
Phone (870) 230-8217

150 N School St
Bearden, AR 71720
Phone (501) 622-4866

960 Highway 71 N
De Queen, AR 71832
Phone (870) 642-6420

201 N Clifton St
Fordyce, AR 71742
Phone (870) 352-6300

234 E Broadway
Glenwood, AR 71943
Phone (870) 356-4821

1 Mercy Ln
Ste 301
Hot Springs, AR 71913
Phone (501) 622-6556

101 Hospital Dr
Magnolia, AR 71753
Phone (870) 235-3000

320 Luzerne St
Mount Ida, AR 71957
Phone (870) 867-2175

319 E 13th St
Murfreesboro, AR 71958
Phone (870) 285-3118

130 Medical Cir
Nashville, AR 71852
Phone (501) 624-7700

Organizations & group practices 2

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": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1831833383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 COOPER RD",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721048603",
            "telephone_number": "501-337-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 WOMENS CENTER LN",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136352",
            "telephone_number": "501-609-2229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3915 W 8th St",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722042028",
            "country_code": "US",
            "telephone_number": "501-280-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSEBERRY",
        "first_name": "HOLLIE",
        "middle_name": "B",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "216491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.