Active NPI
Daniel L. Smith, NP
- Gerontology Nurse Practitioner
- Bentonville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 120816
- Practice address
- 609 SW 8TH St FL 6
Bentonville, AR 72712-7886 - Phone
- (337) 991-9276
- Fax
- (337) 943-0846
- NPI assigned
- Jun 24, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 120816 | AR | Primary |
Addresses
Primary practice location
609 SW 8TH St FL 6
Bentonville, AR 72712-7886
Mailing address
1509 Dulles Dr
Lafayette, LA 70506-3718
Phone (337) 991-9276
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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1308 E Page Ave
Malvern, AR 72104-4518
Phone (501) 337-9820
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Medical Clinic Arkansas LLC | Current | Accepting new patients | |
| Access Medical Clinic Arkansas LTC LLC | Current | Accepting new patients | |
| Curana Health of Arkansas LLC | Current | Accepting new patients | |
| Access Medical Clinic Arkansas LTC LLC | Current | Accepting new patients | |
| Access Medical Clinic Arkansas LLC | Current | Accepting new patients |
Locations
609 SW 8th St
Fl 6
Bentonville, AR 72712
Phone (479) 349-2579
806 E Main St
Flippin, AR 72634
Phone (870) 219-7706
16723 Highway 62
Garfield, AR 72732
Phone (870) 219-7706
1308 E Page Ave
Malvern, AR 72104
Phone (501) 337-9820
1016 N Fourche Ave
Perryville, AR 72126
Phone (501) 237-1284
106 Highway 62 W
Salem, AR 72576
Phone (870) 895-2762
810 S Rock St
Sheridan, AR 72150
Phone (870) 917-2289
106 N Van Buren St
Weiner, AR 72479
Phone (870) 605-0014
1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803
Interoperability endpoints
- daniel.smith.1@29938.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Nurse Practitioner
- Bentonville, AR
- NPI 1659750214
-
- Rural Health Clinic/Center
- Weiner, AR
- NPI 1114578929
-
- Rural Health Clinic/Center
- El Dorado, AR
- NPI 1477119105
-
- Rural Health Clinic/Center
- Camden, AR
- NPI 1508563362
-
- Family Medicine Physician
- Springfield, MO
- NPI 1841154846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561420800000",
"number": "1942861794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 DULLES DR",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705063718",
"telephone_number": "337-991-9276",
"fax_number": "337-943-0846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 SW 8TH ST FL 6",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727127886",
"telephone_number": "337-991-9276",
"fax_number": "337-943-0846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "DANIEL",
"middle_name": "L.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-24",
"last_updated": "2019-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "AR",
"license": "120816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.
- 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.