Laura Marie Weatherford, APN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A003761 Issued in AR

Practice address

411 W Washington Ave Ste B
Jonesboro, AR 72401-2781

Phone

(870) 275-4272

Fax

(870) 275-4277

NPI assigned

Oct 3, 2012

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

Other names 1

• Laura Marie Carlisle Former name

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prestige Care, PLLCGroup PAC ID 3476072992, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Prestige Care, PLLC

  • Family Medicine Physician
  • Jonesboro, AR
  • NPI 1346032208
  Medicare reassignment Care Compare group NPD
• Pain Treatment Centers of America, PLLC

  • Multi-Specialty Clinic/Center
  • Little Rock, AR
  • NPI 1841619731
  Medicare reassignment NPD
• Pain Treatment Centers of America PLLC

  • Durable Medical Equipment & Medical Supplies
  • Harrison, AR
  • NPI 1821972225
  NPD
• Prestige Care, PLLC

  • Family Medicine Physician
  • Paragould, AR
  • NPI 1922899368
  NPD

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1861744773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9178",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728119178",
            "telephone_number": "800-824-4094",
            "fax_number": "479-968-1673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W WASHINGTON AVE STE B",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724012781",
            "telephone_number": "870-275-4272",
            "fax_number": "870-275-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERFORD",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "credential": "APN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-03",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A003761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "CARLISLE",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Molly Maddox Watson
• Sarah Watson
• Vye Branch Watson, MD
• Makenzie Waymire, OTA
• Breanna L Waynes
• Ragon Dawn Weatherford, LPC
• Kaylee Weatherley
• Melanie Weathers, PHARM D
• Precious Weatherspoon
• Amber Brooke Weaver, LCSW

• Family Nurse Practitioner in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.