Individual provider Active NPI

Rebecca Ann Parham, APN

  • Gerontology Nurse Practitioner
  • Carlisle, AR
National Provider Identifier
1962630079
Registry record updated Jun 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
A03230 ANP Issued in AR
Practice address
1450 Plafcan Rd
Carlisle, AR 72024-9364
Phone
(870) 672-1494
NPI assigned
Jun 26, 2009
Last updated
Jun 26, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2009

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 A03230 ANP AR Primary

Addresses

Primary practice location

1450 Plafcan Rd
Carlisle, AR 72024-9364

Mailing address

1450 Plafcan Rd
Carlisle, AR 72024-9364
Phone (870) 672-1494

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
I20091009000122 AR Practitioner - Nurse Practitioner 3375699861 Reassigns benefits to 3 organizations
Practice locations: Hot Springs, AR; Jonesboro, AR; Little Rock, AR; Lonoke, AR; McGehee, AR; Ola, AR; Ozark, AR; Paris, AR…

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A03230 ANPARMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Sep 1, 2009 Accepting new patients
Arkansas Psychiatric Clinic Clinical Research Trials, PA CurrentSince Jan 24, 2017 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Sep 1, 2009 Accepting new patients
A Foot Above the Rest Gerontology CurrentSince Feb 23, 2024 Accepting new patients

Locations

950 Homestead Dr
Ashdown, AR 71822
Phone (870) 898-5001

1975 White Dr
Batesville, AR 72501
Phone (870) 376-0346

2500 Highway 65 S
Clinton, AR 72031
Phone (501) 745-7000

1700 E Short Hillsboro St
El Dorado, AR 71730
Phone (870) 862-5124

615 Mountain View Rd
Glenwood, AR 71943
Phone (870) 356-3953

1111 Maplewood Rd
Harrison, AR 72601
Phone (870) 741-5001

200 S Maple St
Hazen, AR 72064
Phone (479) 756-0330

552 Golf Links Rd
Hot Springs National Park, AR 71901
Phone (501) 624-7149

2911 Browns Ln
Jonesboro, AR 72401
Phone (870) 483-7623

2600 John Barrow Rd
Little Rock, AR 72204
Phone (501) 224-4172

3115 S Bowman Rd
Little Rock, AR 72211
Phone (214) 862-5756

4 Executive Center Ct
Little Rock, AR 72211
Phone (501) 448-0060

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

1010 Barnes St
Lonoke, AR 72086
Phone (501) 676-3103

502 W Pennington St
Ola, AR 72853
Phone (479) 489-5237

600 N 12th St
Ozark, AR 72949
Phone (479) 667-4791

1414 S Elm St
Paris, AR 72855
Phone (479) 963-5151

6301 S Hazel St
Pine Bluff, AR 71603
Phone (870) 534-8153

1421 W 2nd St N
Prescott, AR 71857
Phone (870) 887-3811

700 Manor Rd
Prescott, AR 71857
Phone (870) 455-1086

505 E Victory St
Star City, AR 71667
Phone (870) 619-2139

2107 Dudley St
Texarkana, AR 71854
Phone (870) 772-4427

333 Melody Dr
Trumann, AR 72472
Phone (870) 275-4068

228 Pointer Trl W
Van Buren, AR 72956
Phone (479) 474-5276

Organizations & group practices 4

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": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245974400000",
    "number": "1962630079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 PLAFCAN RD",
            "city": "CARLISLE",
            "state": "AR",
            "postal_code": "720249364",
            "telephone_number": "870-672-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 PLAFCAN RD",
            "city": "CARLISLE",
            "state": "AR",
            "postal_code": "720249364",
            "telephone_number": "870-672-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARHAM",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-26",
        "last_updated": "2009-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AR",
            "license": "A03230 ANP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, AR

Sources for this page

Verify at the official NPI Registry.