1457716029 NPI number — MRS. CHASTA MANDY BARBEE-LUMPKIN CNP

Table of content: MRS. CHASTA MANDY BARBEE-LUMPKIN CNP (NPI 1457716029)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457716029 NPI number — MRS. CHASTA MANDY BARBEE-LUMPKIN CNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BARBEE-LUMPKIN
Provider First Name:
CHASTA
Provider Middle Name:
MANDY
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
CNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1457716029
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/01/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
110 TIMBER RIDGE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DRASCO
Provider Business Mailing Address State Name:
AR
Provider Business Mailing Address Postal Code:
72530-9414
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
501-628-1096
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2225 STATE HWY 110 W
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HEBER SPRINGS
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72543
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
501-362-0048
Provider Business Practice Location Address Fax Number:
501-362-8815
Provider Enumeration Date:
12/23/2015

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LG0600X , with the licence number:  A004563 , registered in the state of AR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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