Active NPI
Tara Heath, CRNA
- Certified Registered Nurse Anesthetist
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- CTP-00210
- Practice address
- 500 S. University Ave.
Suite 505
Little Rock, AR 72205-5307 - Phone
- (501) 664-4532
- Fax
- (501) 663-4335
- NPI assigned
- Apr 2, 2012
- Last updated
- May 15, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | CTP-00210 | AR | Primary |
| Registered Nurse | 163W00000X | R79471 | AR |
Addresses
Primary practice location
500 S. University Ave.
Suite 505
Little Rock, AR 72205-5307
Mailing address
500 S. University Ave.
Suite 505
Little Rock, AR 72205-5307
Phone (501) 664-4532
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 E Matthews Ave
Jonesboro, AR 72401-4314
Phone (870) 932-4211
1520 N Division St
Blytheville, AR 72315-1448
900 W Kingshighway
Paragould, AR 72450-5942
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R79471 | AR | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jonesboro Anesthesia Inc | Current | Accepting new patients | |
| Lifelinc Anesthesia V, P.a. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mississippi County Hospital System | Current | Accepting new patients | |
| Arkansas Methodist Hospital Corporation | Current | Accepting new patients | |
| Mississippi County Hospital System | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Arkansas Methodist Hospital Corporation | Current | Accepting new patients | |
| Arkansas Methodist Hospital Corporation | Past | Accepting new patients |
Locations
1520 N Division St
Blytheville, AR 72315
Phone (870) 838-7300
1100 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-8500
225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630
4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100
900 W Kingshighway
Paragould, AR 72450
Phone (870) 239-7000
3340 Players Club Pkwy
Ste 350
Memphis, TN 38125
Phone (901) 207-2017
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.
-
dba Paragould Anesthesia Group
- Anesthesiology Physician
- Paragould, AR
- NPI 1861593816
-
- Anesthesiology Physician
- Jonesboro, AR
- NPI 1043228448
-
- Anesthesiology Physician
- Blytheville, AR
- NPI 1376844878
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- West Memphis, AR
- NPI 1063907244
Nurse Anesthetist, Certified Registered
-
dba BRMC Anesthesia
- Anesthesiology Physician
- Mountain Home, AR
- NPI 1114178753
-
dba AMMC Physician Group
- Otolaryngology Physician
- Paragould, AR
- NPI 1205457405
-
- Rural Health Clinic/Center
- Blytheville, AR
- NPI 1124634738
-
dba Ammc Ambulance Service
- Ambulance
- Paragould, AR
- NPI 1578633368
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Arkansas Methodist Medical Center
- General Acute Care Hospital
- Paragould, AR
- NPI 1437222312
-
dba Great River Medical Center
- General Acute Care Hospital
- Blytheville, AR
- NPI 1316180748
-
dba St Bernards Medical Center
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1922043686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337040000000",
"number": "1891051041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 S. UNIVERSITY AVE.",
"address_2": "SUITE 505",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055307",
"telephone_number": "501-664-4532",
"fax_number": "501-663-4335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S. UNIVERSITY AVE.",
"address_2": "SUITE 505",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055307",
"telephone_number": "501-664-4532",
"fax_number": "501-663-4335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEATH",
"first_name": "TARA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-02",
"last_updated": "2012-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AR",
"license": "CTP-00210",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AR",
"license": "R79471",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.