Active NPI
Gussie Annett Moneymaker, APN
- Women's Health Nurse Practitioner
- Searcy, AR
National Provider Identifier
1912910050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- A01184 ANP
- Practice address
- 112 Brantley Rd
Searcy, AR 72143-8315 - Phone
- (501) 268-6102
- Fax
- (501) 268-4445
- NPI assigned
- Aug 13, 2006
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | A01184 ANP | AR | Primary |
Addresses
Primary practice location
112 Brantley Rd
Searcy, AR 72143-8315
Mailing address
105 Knollwood Dr
Searcy, AR 72143-8679
Phone (501) 207-2738
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 440109501 | Other | AR | MEDICAID PRESCRIBER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A01184 ANP | AR | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Arkansas | Past | Accepting new patients | |
| State of Arkansas | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Searcy, AR
- NPI 1497765549
-
- Skilled Nursing Facility
- North Little Rock, AR
- NPI 1689117756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347840000000",
"number": "1912910050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 KNOLLWOOD DR",
"city": "SEARCY",
"state": "AR",
"postal_code": "721438679",
"telephone_number": "501-207-2738",
"fax_number": "501-268-4445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 BRANTLEY RD",
"city": "SEARCY",
"state": "AR",
"postal_code": "721438315",
"telephone_number": "501-268-6102",
"fax_number": "501-268-4445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONEYMAKER",
"first_name": "GUSSIE",
"middle_name": "ANNETT",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2012-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "AR",
"license": "A01184 ANP",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID PRESCRIBER ID",
"identifier": "440109501",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Searcy, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.