ELLEN SHADWICK APRN NPI 1669880001

NPI Information

NPI: 1669880001
Provider Name: ELLEN SHADWICK, APRN
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
9601 BAPTIST HEALTH DR
SUITE 990
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 223-2860
Get Directions

Ellen Shadwick, APRN is an acute care nurse practitioner in Little Rock, AR. Ellen Shadwick, APRN NPI is 1669880001. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9601 BAPTIST HEALTH DR
SUITE 990
LITTLE ROCK, AR
ZIP 72205-321
Phone: (501) 223-2860
Fax: (501) 223-2258

The NPI 1669880001 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/29/2014 and was last updated on 7/29/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		R084216	ARKANSAS	No
2	363LA2100X	Nurse Practitioner	Acute Care	A004130	ARKANSAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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