Angel Bynum, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A005740 Issued in AR

Practice address

200 River Market Ave Ste 72201
Little Rock, AR 72201-1752

Phone

(501) 492-0099

Fax

(479) 968-1673

NPI assigned

Jul 6, 2018

Last updated

Aug 12, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Angel Vantine Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Bradley Bibb MD PLLC

  • Rural Health Clinic/Center
  • Ash Flat, AR
  • NPI 1699097436
  Medicare reassignment NPD
• East Arkansas Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Blytheville, AR
  • NPI 1932442985
  Medicare reassignment NPD
• Bradley Bibb MD PLLC

  • Rural Health Clinic/Center
  • Salem, AR
  • NPI 1568200061
  NPD
• East Arkansas Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Osceola, AR
  • NPI 1043553860
  NPD
• East Arkansas Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Clarksville, AR
  • NPI 1609259753
  NPD
• Bradley Bibb MD PLLC

  • Rural Health Clinic/Center
  • Chickasha, OK
  • NPI 1013724764
  NPD
• Icarepro of Texas, PA

  • Clinical Nurse Specialist
  • Texarkana, TX
  • NPI 1396193066
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1992291520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9178",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728119178",
            "telephone_number": "855-498-6767",
            "fax_number": "479-968-1673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RIVER MARKET AVE STE 72201",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722011752",
            "telephone_number": "501-492-0099",
            "fax_number": "479-968-1673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYNUM",
        "first_name": "ANGEL",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-06",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGEL",
            "last_name": "VANTINE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren A Byers, CNP
• Leah Byers, LMSW
• Christina Byler, PA
• Amber Bennett Bynum, PHARMD
• Andrea Bynum, LCSW
• Donna K. Byrd, L.C.S.W.
• Samuel Byrd, MD
• Traci Elizabeth Byrd, ATC, CSCS
• Rajasekhar Reddy Byreddy
• Courtney Byrum, MS, RD, LD

• Family Nurse Practitioner in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.

Verify at the official NPI Registry.