Individual provider Active NPI

Laticia Kay Sheffield, APRN

  • Family Nurse Practitioner
  • Decatur, AR
National Provider Identifier
1871013359
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A005158 Issued in AR
Practice address
346 N Main St
Decatur, AR 72722-9732
Phone
(479) 752-3233
Fax
(479) 752-3235
NPI assigned
Jun 26, 2017
Last updated
Jun 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A005158 AR Primary
Family Medicine Physician 207Q00000X A005158 AR

Addresses

Primary practice location

346 N Main St
Decatur, AR 72722-9732

Mailing address

PO Box 735
Decatur, AR 72722-0735
Phone (479) 752-3233

Other identifiers 1

IdentifierTypeStateIssuer
1023028016OtherARGROUP NPI

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
I20210528000111 AR Practitioner - Nurse Practitioner 3577833458 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A005158ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spavinaw Clinics, Inc Single Specialty Current Accepting new patients
Healthstar Physicians of Hot Springs, PLLC Single Specialty CurrentSince Oct 1, 2021 Accepting new patients
Hot Springs Interventional Pain Management PA Single Specialty CurrentSince Apr 1, 2022 Accepting new patients
First Care Family Medicine-Mena PLLC Single Specialty CurrentSince Oct 1, 2021 Accepting new patients
Healthstar Physicians of Hot Springs, PLLC Single Specialty CurrentSince Oct 1, 2021 Accepting new patients
Healthstar Physicians of Hot Springs Single Specialty CurrentSince Oct 1, 2021 Accepting new patients
Healthstar Physicians of Hot Springs, PLLC Single Specialty CurrentSince Oct 1, 2021 Accepting new patients
Healthstar Physicians of Hot Springs, PLLC PastSince Oct 1, 2021 Accepting new patients

Locations

346 N Main St
Decatur, AR 72722
Phone (479) 752-3233

1 Mercy Ln
Ste 304
Hot Springs National Park, AR 71913
Phone (501) 321-4772

120 Adcock Rd
#A
Hot Springs National Park, AR 71913
Phone (501) 651-4500

1661 Airport Rd
Ste D
Hot Springs National Park, AR 71913
Phone (501) 547-5718

1661 Airport Rd
Ste F
Hot Springs National Park, AR 71913
Phone (501) 651-4300

4517 Park Ave
Hot Springs National Park, AR 71901
Phone (501) 623-7900

1517 S Main St
Malvern, AR 72104
Phone (501) 332-7525

1106 Mena St
Mena, AR 71953
Phone (479) 437-3602

1706 Highway 71 N
Mena, AR 71953
Phone (479) 394-1500

Organizations & group practices 8

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": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1871013359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735",
            "city": "DECATUR",
            "state": "AR",
            "postal_code": "727220735",
            "telephone_number": "479-752-3233",
            "fax_number": "479-752-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 N MAIN ST",
            "city": "DECATUR",
            "state": "AR",
            "postal_code": "727229732",
            "telephone_number": "479-752-3233",
            "fax_number": "479-752-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEFFIELD",
        "first_name": "LATICIA",
        "middle_name": "KAY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005158",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "A005158",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1023028016",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AR

Sources for this page

Verify at the official NPI Registry.