Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amy Deatherage

Individual provider Family Nurse Practitioner · NPI 1720489032

Amy Deatherage is a Nurse Practitioner in Paragould, Arkansas. Qualified in 2014, 12 years ago. Practices with Tbd Health Enterprises of Arkansas PLLC, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
12
Licensed in
AR
In the registry since
2014
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Practice location Address checks out

1 Medical Dr Ste 100
Paragould, AR 72450-4005
Phone: (870) 932-0399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2707 Market Trace, Fort Smith, AR 72908-8694 — (479) 434-3600

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2014012328 (AR)

Record details

NPI number1720489032
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 6, 2014
Last updated in NPPESMarch 31, 2025
Certification dateMarch 31, 2025
Mailing address1 Medical Dr Ste 100, Paragould, AR 72450-4005

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Tbd Health Enterprises Of Arkansas Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Paragould