Individual provider Active NPI

Carma L Shumake, APN

  • Family Nurse Practitioner
  • Helena, AR
National Provider Identifier
1992842785
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A001098 Issued in AR
Practice address
1393 Highway 242 S
Helena, AR 72342-8851
Phone
(870) 572-2727
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A001098 AR Primary
Nurse Practitioner 363L00000X A01098 AR

Addresses

Primary practice location

1393 Highway 242 S
Helena, AR 72342-8851

Mailing address

4021 W 8TH St
Little Rock, AR 72204-2029
Phone (501) 686-5021

Other practice location 1

1609 N Medical Dr
Stuttgart, AR 72160-3274
Phone (870) 673-7211

Other identifiers 9

IdentifierTypeStateIssuer
201477729MedicaidAR
201478729MedicaidAR
136428729MedicaidAR
201479729MedicaidAR
201481729MedicaidAR
129735729MedicaidAR
100907002MedicaidAR
129734729MedicaidAR
201482729MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20180322000618 ME Practitioner - Nurse Practitioner 0840430740 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A01098ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Calais Community Hospital CurrentSince Feb 12, 2018 Accepting new patients
Calais Community Hospital CurrentSince Feb 12, 2018 Accepting new patients
Calais Community Hospital Past Accepting new patients

Locations

37 Palmer St
Calais, ME 04619
Phone (207) 454-3307

37 Palmer St
Ste 3
Calais, ME 04619
Phone (207) 454-8195

Interoperability endpoints

  • Direct secure messaging: carma.shumake.1@14940.direct.athenahealth.com
  • FHIR API: https://fhir-usa.unify.chbase.com/org/calais-879327e9

Organizations & group practices 3

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1992842785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 W 8TH ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722042029",
            "telephone_number": "501-686-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1393 HIGHWAY 242 S",
            "city": "HELENA",
            "state": "AR",
            "postal_code": "723428851",
            "telephone_number": "870-572-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1609 N Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Stuttgart",
            "state": "AR",
            "postal_code": "721603274",
            "country_code": "US",
            "telephone_number": "870-673-7211",
            "fax_number": "870-672-6823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUMAKE",
        "first_name": "CARMA",
        "middle_name": "L",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A001098",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A01098",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201477729",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201478729",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136428729",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201479729",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201481729",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129735729",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100907002",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129734729",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201482729",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, AR

Sources for this page

Verify at the official NPI Registry.