| NPI | 1083285985 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2021-07-02 |
| Last Updated | 2026-01-06 |
| Authorized Official | Theresa Lybrand Owner Phone: 5017659214 |
| Mailing Address | 1700 Doctors Dr Pine Bluff, AR 71603-7015 United States Phone: (870) 534-2900 | Fax: (501) 207-8925 📍 View Map |
| Primary Practice Address | 1700 Doctors Dr Pine Bluff, AR 71603-7015 United States Phone: (870) 534-2900 | Fax: (501) 207-8925 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 363LF0000X – Nurse Practitioner, Family | — | — |
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About NPI 1083285985
Autonomy Health Care Providers Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1083285985. The primary specialty listed is Nurse Practitioner, Family. The organization is located in Pine Bluff, AR. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2021-07-02. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1083285985?
NPI 1083285985 belongs to Autonomy Health Care Providers Llc, a Nurse Practitioner, Family in Pine Bluff, AR. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1083285985 active?
The current status of NPI 1083285985 in the NPPES registry is Active. The record was last updated on 2026-01-06.
What specialty is NPI 1083285985?
NPI 1083285985 is classified under the taxonomy Nurse Practitioner, Family. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1083285985?
You can verify NPI 1083285985 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1083285985?
The primary practice address on file for NPI 1083285985 is 1700 Doctors Dr, Pine Bluff, AR 71603-7015. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1083285985 issued?
NPI 1083285985 was first issued (enumerated) on 2021-07-02. The NPPES record was last updated on 2026-01-06.
Practice Location Map
Autonomy Health Care Providers Llc is located at 1700 Doctors Dr, Pine Bluff, AR. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Autonomy Health Care Providers Llc. All records sourced from the CMS NPPES registry.