Individual provider Active NPI

David Allen Storm, APRN

  • Family Nurse Practitioner
  • Huntsville, AR
National Provider Identifier
1841767118
Registry record updated Nov 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A005800 Issued in AR
Practice address
705 Phillips PL
Huntsville, AR 72740-6266
Phone
(479) 738-1700
NPI assigned
Oct 25, 2018
Last updated
Nov 12, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2018

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 A005800 AR Primary

Addresses

Primary practice location

705 Phillips PL
Huntsville, AR 72740-6266

Mailing address

207 Jones St
Lowell, AR 72745-8039
Phone (479) 531-2178

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
I20190131000821 AR Practitioner - Nurse Practitioner 6709123607 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Northwest Arkansas Ambulatory Services, LLCGroup PAC ID 3779827993, 50 clinicians
Minimal Access Surgery IncGroup PAC ID 1951295575, 2 clinicians
Huntsville Medical Clinic, LLCGroup PAC ID 1557846912, 3 clinicians

Practice addresses (Care Compare)

3101 SE 14TH St
Bentonville, AR 72712-4900
Phone (479) 250-1053

5230 Willow Creek Dr
Suite 201
Springdale, AR 72762-0899
Phone (479) 927-3100

705 Phillips PL
Huntsville, AR 72740-6266
Phone (479) 738-1700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A005800ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Physicians LLC CurrentSince Jan 16, 2019 Accepting new patients
Northwest Physicians LLC CurrentSince Jan 16, 2019 Accepting new patients
Mercy Northwest Arkansas Ambulatory Services LLC CurrentSince Dec 27, 2021 Accepting new patients
Minimal Access Surgery Inc CurrentSince Oct 13, 2021 Accepting new patients
Northwest Benton County Physician Services LLC CurrentSince Jan 16, 2019 Accepting new patients
Mercy Health Northwest Arkansas Communities Past Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

101 Sun Meadow Dr
Centerton, AR 72719
Phone (479) 273-1426

3399 Black Forest Dr
#2
Fayetteville, AR 72704
Phone (479) 757-5056

3873 N Parkview Dr
Fayetteville, AR 72703
Phone (479) 527-0050

705 Phillips Pl
Huntsville, AR 72740
Phone (479) 738-1700

705 Phillips Pl
#B
Huntsville, AR 72740

2012 S Promenade Blvd
Rogers, AR 72758
Phone (479) 616-1485

3721 Highway 412 E
#B
Siloam Springs, AR 72761
Phone (479) 215-3070

603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000

5230 Willow Creek Dr
Springdale, AR 72762
Phone (479) 322-5145

5230 Willow Creek Dr
Ste 201
Springdale, AR 72762
Phone (479) 927-3100

601 W Maple Ave
Ste 403
Springdale, AR 72764
Phone (479) 750-2742

Organizations & group practices 7

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": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1841767118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 JONES ST",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727458039",
            "telephone_number": "479-531-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 PHILLIPS PL",
            "city": "HUNTSVILLE",
            "state": "AR",
            "postal_code": "727406266",
            "telephone_number": "479-738-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORM",
        "first_name": "DAVID",
        "middle_name": "ALLEN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-25",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AR

Sources for this page

Verify at the official NPI Registry.