Individual provider Active NPI

Stephanie M Allman

  • Family Nurse Practitioner
  • Marion, AR
National Provider Identifier
1952086464
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
124449 Issued in AR
Practice address
136 Block St
Marion, AR 72364-1956
Phone
(870) 559-2314
NPI assigned
Jun 21, 2023
Last updated
Feb 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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 124449 AR Primary
Registered Nurse 163W00000X 124449 AR

Addresses

Primary practice location

136 Block St
Marion, AR 72364-1956

Mailing address

633 White Oak Dr
Marion, AR 72364-2415

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
I20240520000516 AR Practitioner - Nurse Practitioner 3779924956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marion Minor Medical LLCGroup PAC ID 9931330065, 2 clinicians

Practice addresses (Care Compare)

136 Block St
Marion, AR 72364-1956
Phone (870) 559-2314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
124449ARMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Marion Minor Medical LLC CurrentSince Apr 15, 2024 Accepting new patients

Locations

136 Block St
Marion, AR 72364
Phone (870) 559-2314

Organizations & group practices 1

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": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1952086464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 WHITE OAK DR",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723642415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 BLOCK ST",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723641956",
            "telephone_number": "870-559-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLMAN",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "124449",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "124449",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, AR

Sources for this page

Verify at the official NPI Registry.