Mary Anne Lunsford, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A005198 Issued in AR

Practice address

7600 Rogers Ave
Fort Smith, AR 72903-5540

Phone

(479) 226-8340

Fax

(479) 259-9871

NPI assigned

Sep 6, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1902353006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035540",
            "telephone_number": "479-226-8340",
            "fax_number": "479-259-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035540",
            "telephone_number": "479-226-8340",
            "fax_number": "479-259-9871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "871 W Main St",
            "address_purpose": "LOCATION",
            "city": "Booneville",
            "state": "AR",
            "postal_code": "729273420",
            "country_code": "US",
            "telephone_number": "479-675-4100",
            "fax_number": "479-675-4102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNSFORD",
        "first_name": "MARY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-06",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R066983",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP",
            "identifier": "0179196",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR NURSING LICESNCE",
            "identifier": "R066983",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK. RN LICENSE",
            "identifier": "R0119211",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna M Lukasek, DO
• Duane A Lukasek, DO
• Amanda Luman, MHPP
• Piper K Lumpkin, QBHP
• Daniel Lunsford, PD
• Luxottica of America Inc.
• Lymphatic Therapy Inc
• Jennifer Lynch, PHARM D
• Tanner James Lynch, STUDENT NP
• Felicia Lyons, QBHP

• Family Nurse Practitioner in Fort Smith, AR
• Providers in Fort Smith, 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 Oct 22, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.