Individual provider Active NPI

Amanda Gaye Thornton, ANP

  • Obstetrics & Gynecology Nurse Practitioner
  • Mountain Home, AR
National Provider Identifier
1992745012
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
A01864 Issued in AR
Practice address
628 Hospital Dr
Suite 2a
Mountain Home, AR 72653-2953
Phone
(870) 425-7300
Fax
(870) 425-4431
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X A01864 AR Primary

Addresses

Primary practice location

628 Hospital Dr
Suite 2a
Mountain Home, AR 72653-2953

Mailing address

628 Hospital Dr
Suite 2a
Mountain Home, AR 72653-2953
Phone (870) 425-7300

Other identifiers 2

IdentifierTypeStateIssuer
5Y236OtherARAR BCBS#
158290758MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hbarrow@cfw.gwaydirect.com Direct J Harley Barrow Jr MD PLLC

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
I20050329001190 AR Practitioner - Nurse Practitioner 8224084546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J Harley Barrow Jr MD PLLCGroup PAC ID 9739256082, 2 clinicians

Practice addresses (Care Compare)

628 Hospital Dr
Suite 2a
Mountain Home, AR 72653-2937
Phone (870) 425-7300

Hospital & facility affiliations

  • Baxter Health Hospital, Mountain Home, AR, CCN 040027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A01864ARMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
J Harley Barrow Jr MD PLLC CurrentSince Apr 1, 2009 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

628 Hospital Dr
Ste 2A
Mountain Home, AR 72653
Phone (870) 425-7300

Interoperability endpoints

  • Direct secure messaging: athornton@cfw.emadirect.md
  • Direct secure messaging: hbarrow@cfw.gwaydirect.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1992745012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 HOSPITAL DR",
            "address_2": "SUITE 2A",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532953",
            "telephone_number": "870-425-7300",
            "fax_number": "870-425-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 HOSPITAL DR",
            "address_2": "SUITE 2A",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532953",
            "telephone_number": "870-425-7300",
            "fax_number": "870-425-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "AMANDA",
        "middle_name": "GAYE",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "AR",
            "license": "A01864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BCBS#",
            "identifier": "5Y236",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158290758",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hbarrow@cfw.gwaydirect.com",
            "affiliation": "Y",
            "endpointDescription": "Direct Email",
            "affiliationName": "J Harley Barrow Jr MD PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "628 Hospital Dr Ste 2A",
            "city": "Mountain Home",
            "state": "AR",
            "country_code": "US",
            "postal_code": "726532937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.