Individual provider Active NPI

James Keith Townsend, APN

  • Family Nurse Practitioner
  • Batesville, AR
National Provider Identifier
1902144991
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A003845 Issued in AR
Practice address
4100 Harrison St
Batesville, AR 72501-9419
Phone
(870) 307-0001
Fax
(870) 307-0395
NPI assigned
Jan 25, 2013
Last updated
May 17, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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 R080620 AR
Family Nurse Practitioner 363LF0000X A003845 AR Primary

Addresses

Primary practice location

4100 Harrison St
Batesville, AR 72501-9419

Mailing address

117 S 2ND St
PO Box 497
Augusta, AR 72006-2309
Phone (870) 347-2534

Other identifiers 1

IdentifierTypeStateIssuer
198628758MedicaidAR

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
I20131011001578 AR Practitioner - Nurse Practitioner 8527292218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1311 E Race Ave
Searcy, AR 72143-4657
Phone (501) 203-4225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R080620ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nomad Family Medical LLC CurrentSince Dec 4, 2017 Accepting new patients
Dr B. E. Holmes PA Past Accepting new patients
Im a 10 Wellness Center, LLC PastSince Nov 8, 2017 Accepting new patients

Locations

1311 E Race Ave
Searcy, AR 72143
Phone (501) 203-4225

Organizations & group practices 3

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": "1359072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1902144991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S 2ND ST",
            "address_2": "PO BOX 497",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720062309",
            "telephone_number": "870-347-2534",
            "fax_number": "870-347-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725019419",
            "telephone_number": "870-307-0001",
            "fax_number": "870-307-0395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNSEND",
        "first_name": "JAMES",
        "middle_name": "KEITH",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-25",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "R080620",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A003845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198628758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

Verify at the official NPI Registry.