AUTONOMY HEALTH CARE PROVIDERS LLC
NPI 1083285985
Nurse Practitioner - Family in Pine Bluff, AR
NPI Status: Active since July 02, 2021
Contact Information
7200 S HAZEL ST
PINE BLUFF, AR
ZIP 71603
Phone: (870) 534-2900
Fax: (501) 207-8925
- Organization
- Nurse Practitioner
- Family
- Accepts Insurance
- CLIA Number: 04D2271274
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 10-30-2026
About AUTONOMY HEALTH CARE PROVIDERS LLC
This page provides the complete NPI Profile along with additional information for Autonomy Health Care Providers Llc, a provider established in Pine Bluff, Arkansas operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1083285985 assigned on July 2021. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Theresa Ann Lybrand (Owner)
- NPI
- 1083285985
- Provider Name
- AUTONOMY HEALTH CARE PROVIDERS LLC
- Entity Type
- Organization
- Location Address
- 7200 S HAZEL ST PINE BLUFF, AR 71603
- Location Phone
- (870) 534-2900
- Location Fax
- (501) 207-8925
- Mailing Address
- 7200 S HAZEL ST PINE BLUFF, AR 71603
- Mailing Phone
- (870) 534-2900
- Mailing Fax
- (501) 207-8925
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-02-2021
- Last Update Date
- 08-28-2023
- Code Navigator
A nurse practitioner (NP) like Autonomy Health Care Providers Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA (QualChoice) - POS
- Complete Gold - PPO
- Complete Gold + Vision + Adult Dental - PPO
- Complete Silver (QualChoice) - POS
- Connected Silver - PPO
- Connected Silver (QualChoice) - POS
- Connected Silver (QualChoiceLife) - PPO
- Connected Silver + Vision + Adult Dental - PPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold - PPO
- Elite Gold + Vision + Adult Dental - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 04D2271274
- Facility Type
- Practitioner Other
- Certificate Effective Date
- October 31, 2024
- Certificate Expiration Date
- October 30, 2026
- Laboratory Director
- THERESA A. LYBRAND
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Autonomy Health Care Providers Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 8 | 3 | 2 | 8 | 5 | 9 | 8 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 16 | 3 | 4 | 8 | 10 | 9 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 6 + 3 + 4 + 8 + 1 + 0 + 9 + 1 + 6 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1083285985 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1972523801 | SHABBIR DHARAMSEY M.D. Individual | Internal Medicine (Cardiovascular Disease) | 7200 S HAZEL ST PINE BLUFF, AR 71603 (870) 534-2900 |
| 1043495286 | ARKANSAS CANCER CLINIC - RADIATION ONCOLOGY, PA Organization | Specialist | 7200 S HAZEL ST PINE BLUFF, AR 71603 (870) 535-2800 |
| 1205009818 | SARAH KATHERINE BROWN ANP Individual | Nurse Practitioner | 7200 S HAZEL ST PINE BLUFF, AR 71603 (870) 534-2900 |
| 1386660934 | WILLIAM F RICHARDS MD PLC Organization | Radiology (Radiation Oncology) | 7200 S HAZEL ST PINE BLUFF, AR 71603 (870) 575-0695 |
| 1457671463 | WILLIAM F RICHARDS MD PLC Organization | Radiology (Radiation Oncology) | 7200 S HAZEL ST PINE BLUFF, AR 71603 (870) 575-0695 |
| 1881614642 | CARDIAC & VASCULAR CENTER OF ARKANSAS PA Organization | Internal Medicine (Cardiovascular Disease) | 7200 S HAZEL ST PINE BLUFF, AR 71603 (870) 534-2900 |
| 1275779118 | CARDIAC & CANCER INSTITIUTE, INC. Organization | Radiologic Technologist (Computed Tomography) | 7200 S HAZEL ST PINE BLUFF, AR 71603 (870) 534-2900 |
| 1265678114 | CARDIAC & VASCULAR INSTITUTE, PLLC Organization | Radiologic Technologist (Nuclear Medicine Technology) | 7200 S HAZEL ST PINE BLUFF, AR 71603 (870) 534-2900 |
| 1164894259 | LDC CARDIAC REHAB LLC Organization | Physical Medicine & Rehabilitation | 7200 S HAZEL ST PINE BLUFF, AR 71603 (870) 535-2800 |
| 1477913861 | ANNABETH MONET HAZLEWOOD APN Individual | Nurse Practitioner (Adult Health) | 7200 S HAZEL ST PINE BLUFF, AR 71603 (870) 534-2900 |
| 1245299924 | DR. SADEEM MAHMOOD M.D. Individual | Internal Medicine (Cardiovascular Disease) | 7200 S HAZEL ST PINE BLUFF, AR 71603 (870) 534-2900 |
| 1558835975 | SOUTHEAST ARKANSAS ONCOLOGY, PA Organization | Radiology (Radiation Oncology) | 7200 S HAZEL ST PINE BLUFF, AR 71603 (870) 939-6300 |
| 1518304534 | FAIZ UR REHMAN MD Individual | Internal Medicine (Cardiovascular Disease) | 7200 S HAZEL ST PINE BLUFF, AR 71603 (870) 534-2900 |
| 1831721570 | SARC BY HSI PINE BUFF LLC Organization | Clinic/Center (Ambulatory Surgical) | 7200 S HAZEL ST PINE BLUFF, AR 71603 (870) 534-2900 |
| 1770549511 | DR. OMAR T ATIQ M.D. Individual | Specialist | 7200 S HAZEL ST PINE BLUFF, AR 71603 (870) 535-2800 |
| 1558893776 | SARK OPL Organization | Internal Medicine (Cardiovascular Disease) | 7200 S HAZEL ST PINE BLUFF, AR 71603 (870) 534-2900 |
| 1568567188 | SOUTH ARKANSAS CARDIOLOGY, P.L.L.C. Organization | Internal Medicine (Cardiovascular Disease) | 7200 S HAZEL ST PINE BLUFF, AR 71603 (870) 534-2900 |
| 1013522127 | SARC BY HSH ASC PINE BLUFF, LLC Organization | Clinic/Center (Ambulatory Surgical) | 7200 S HAZEL ST PINE BLUFF, AR 71603 (870) 939-6380 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083285985, enumerated in the NPI registry as an "organization" on July 02, 2021
The provider is located at 7200 S Hazel St Pine Bluff, Ar 71603 and the phone number is (870) 534-2900
This medical organization specializes in Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 04D2271274 for a "practitioner other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on July 02, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.