Timothy Aaron Bass, APRN-FNP
Individual provider Active NPI Family Nurse Practitioner · Paragould, AR
NPI 1952945883 · NPPES record last updated Dec 13, 2023
Key facts
- NPI
- 1952945883
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- A006166 (AR)
- Practice address
- 1 Medical Dr
Paragould, AR 72450-4017 - Phone
- (870) 236-2000
- NPI assigned
- Nov 4, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A006166 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A006166 | AR | Yes |
Addresses
Primary practice location
1 Medical Dr
Paragould, AR 72450-4017
Mailing address
PO Box 83
Corning, AR 72422-0083
Phone (870) 857-3334
Other providers in Paragould, AR
- Shani Barnhill
- Sandra D Barrett
- Barrington Health LLC
- David B Barron
- Barry L Harris, OD, PA
- Heather Elaine Bastel
- Amber Bates
- Donna Bates
- Emma Nicole Bates
- Megan Lacey Batte
All providers in Paragould, AR · Family Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.