Active NPI
Tiffany Hearnsberger
- Nurse Practitioner
- El Dorado, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- A004997
- Practice address
- 701 N West Ave
El Dorado, AR 71730-4654 - Phone
- (870) 466-4308
- NPI assigned
- Jan 18, 2017
- Last updated
- Jan 18, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A004997 | AR | Primary |
Addresses
Primary practice location
701 N West Ave
El Dorado, AR 71730-4654
Mailing address
701 N West Ave
El Dorado, AR 71730-4654
Phone (870) 466-4308
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
50 Hwy 79 N
Magnolia, AR 71753-3265
Phone (870) 234-7435
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A004997 | AR | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Arkansas Emergency Physicians, LLP | Nurse Practitioner | Current | Accepting new patients |
| South Arkansas Emergency Physicians, LLP | Nurse Practitioner | Current | Accepting new patients |
| Urgent Care Associates LLC | Current | Accepting new patients | |
| South Arkansas Emergency Physicians LLP | Nurse Practitioner | Current | Accepting new patients |
Locations
700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200
50 Highway 79 Byp N
Ste C
Magnolia, AR 71753
Phone (870) 234-7435
609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711
Organizations & group practices 4
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.
-
dba Premier Urgent Care
- Urgent Care Clinic/Center
- Magnolia, AR
- NPI 1790291797
-
- Emergency Medicine Physician
- El Dorado, AR
- NPI 1942435458
Nurse Practitioner
-
- Emergency Medicine Physician
- Siloam Springs, AR
- NPI 1225452055
Nurse Practitioner
-
- Emergency Medicine Physician
- Bentonville, AR
- NPI 1447671490
Nurse Practitioner
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Magnolia Regional Medical Center
- Critical Access Hospital
- Magnolia, AR
- NPI 1700407541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484697600000",
"number": "1871039610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 N WEST AVE",
"city": "EL DORADO",
"state": "AR",
"postal_code": "717304654",
"telephone_number": "870-466-4308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 N WEST AVE",
"city": "EL DORADO",
"state": "AR",
"postal_code": "717304654",
"telephone_number": "870-466-4308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEARNSBERGER",
"first_name": "TIFFANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-18",
"last_updated": "2017-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AR",
"license": "A004997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Dorado, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.