MRS. AMANDA TENILLE RAULS APN NPI 1497871420

NPI Information

  • NPI: 1497871420
  • Provider Name: MRS. AMANDA TENILLE RAULS, APN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3 MEDICAL PLZ
    MOUNTAIN HOME, AR
    ZIP 72653
  • Phone: (870) 424-3400

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NPI Details

MRS. Amanda Tenille Rauls, APN is a family nurse practitioner in Mountain Home, AR. MRS. Amanda Tenille Rauls, APN NPI is 1497871420. 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:

3 MEDICAL PLZ
MOUNTAIN HOME, AR
ZIP 72653-918
Phone: (870) 424-3400
Fax: (870) 424-4121

The NPI 1497871420 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 3/21/2007 and was last updated on 1/19/2016.

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
1363LF0000XNurse PractitionerFamilyA02992ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1163346758MEDICAIDARKANSAS
25A321MEDICARE PIN

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: 11/21/2025

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