Individual provider Active NPI

Deanna Lynn Gillespie, LPN

  • Licensed Practical Nurse
  • Springdale, AR
National Provider Identifier
1851095236
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
L051554 Issued in AR
Practice address
7255 Meeshow Dr Ste a
Springdale, AR 72762-5269
Phone
(479) 306-4480
Fax
(479) 306-4488
NPI assigned
Mar 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X L051554 AR Primary

Addresses

Primary practice location

7255 Meeshow Dr Ste a
Springdale, AR 72762-5269

Mailing address

7255 Meeshow Dr Ste a
Springdale, AR 72762-5269
Phone (479) 306-4480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L051554ARMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Springdale Treatment Center, LLC CurrentSince Apr 6, 2023 Accepting new patients

Locations

7255 Meeshow Dr
Ste A
Springdale, AR 72762
Phone (479) 306-4480

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1851095236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7255 MEESHOW DR STE A",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727625269",
            "telephone_number": "479-306-4480",
            "fax_number": "479-306-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7255 MEESHOW DR STE A",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727625269",
            "telephone_number": "479-306-4480",
            "fax_number": "479-306-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "DEANNA",
        "middle_name": "LYNN",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AR",
            "license": "L051554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.