Individual provider Active NPI

Daniel L. Smith, NP

  • Gerontology Nurse Practitioner
  • Bentonville, AR
National Provider Identifier
1942861794
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
120816 Issued in AR
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

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190726002051 AR Practitioner - Nurse Practitioner 3678809753 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Access Medical Clinic Arkansas LLC CurrentSince Jul 1, 2020 Accepting new patients
Access Medical Clinic Arkansas LTC LLC CurrentSince Dec 15, 2023 Accepting new patients
Curana Health of Arkansas LLC CurrentSince Jun 18, 2019 Accepting new patients
Access Medical Clinic Arkansas LTC LLC CurrentSince Dec 15, 2023 Accepting new patients
Access Medical Clinic Arkansas LLC CurrentSince Jul 1, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.