Active NPI
Sarah Marie Smith, APRN
- Family Nurse Practitioner
- Mountain Home, AR
National Provider Identifier
1972002020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A005576
- Practice address
- 624 Hospital Dr
Mountain Home, AR 72653-2955 - Phone
- (870) 424-3181
- Fax
- (870) 424-3089
- NPI assigned
- Feb 5, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A005576 | AR | Primary |
| Family Nurse Practitioner | 363LF0000X | 2018003486 | MO |
Addresses
Primary practice location
624 Hospital Dr
Mountain Home, AR 72653-2955
Mailing address
PO Box 1269
Mountain Home, AR 72654-1269
Phone (870) 425-6322
Other names 1
- Sarah Marie Eaton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180227003270 | MO | Practitioner - Nurse Practitioner | 3779844170 | Reassigns benefits to 1 organization |
| I20180416000087 | AR | Practitioner - Nurse Practitioner | 3779844170 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018003486 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baxter Emergency Group PLLC | Current | Accepting new patients |
Locations
624 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-1000
860 Highway 62 E
Ste 9
Mountain Home, AR 72653
Phone (870) 424-3181
860 Highway 62 E
Ste 10
Mountain Home, AR 72653
Phone (870) 424-2224
Interoperability endpoints
- saraheaton@omcmo.allscriptsdirect.net
Organizations & group practices 2
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": "1517788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708300800000",
"number": "1972002020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1269",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726541269",
"telephone_number": "870-425-6322",
"fax_number": "870-424-5859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 HOSPITAL DR",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726532955",
"telephone_number": "870-424-3181",
"fax_number": "870-424-3089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SARAH",
"middle_name": "MARIE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-05",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "A005576",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2018003486",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "EATON",
"middle_name": "MARIE",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mountain Home, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.