Active NPI
Carma L Shumake, APN
- Family Nurse Practitioner
- Helena, AR
National Provider Identifier
1992842785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A001098
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201477729 | Medicaid | AR | |
| 201478729 | Medicaid | AR | |
| 136428729 | Medicaid | AR | |
| 201479729 | Medicaid | AR | |
| 201481729 | Medicaid | AR | |
| 129735729 | Medicaid | AR | |
| 100907002 | Medicaid | AR | |
| 129734729 | Medicaid | AR | |
| 201482729 | Medicaid | AR |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A01098 | AR | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calais Community Hospital | Current | Accepting new patients | |
| Calais Community Hospital | Current | 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
- carma.shumake.1@14940.direct.athenahealth.com
- 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.
-
- Rural Health Clinic/Center
- Calais, ME
- NPI 1134200702
-
- Medicare Defined Swing Bed Hospital Unit
- Calais, ME
- NPI 1376546143
-
- Critical Access Hospital
- Calais, ME
- NPI 1922001049
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.