Provider Demographics
NPI:1942452883
Name:BINNS, TASHA (APN)
Entity type:Individual
Prefix:MRS
First Name:TASHA
Middle Name:
Last Name:BINNS
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 MEDICAL PARK PL
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71901-8051
Mailing Address - Country:US
Mailing Address - Phone:501-625-3400
Mailing Address - Fax:501-625-3402
Practice Address - Street 1:130 MEDICAL PARK PL
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-8051
Practice Address - Country:US
Practice Address - Phone:501-625-3400
Practice Address - Fax:501-625-3402
Is Sole Proprietor?:No
Enumeration Date:2008-10-22
Last Update Date:2014-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP01089363L00000X
ARA003159363LA2100X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5R300OtherBCBS
AR4A133Medicare PIN
AR5R300OtherBCBS