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AUTONOMY HEALTH CARE PROVIDERS LLC
NPI 1083285985
Nurse Practitioner - Family in Pine Bluff, AR

Active since July 02, 2021CLIA 04D2271274 · Waiver
1700 DOCTORS DR, PINE BLUFF, AR 71603(870) 534-2900(501) 207-8925 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 6, 2026, Aug 28, 2023, Feb 2, 2023 and 3 more (6 updates tracked since 2021).

About Autonomy Health Care Providers Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUTONOMY HEALTH CARE PROVIDERS LLC (NPI 1083285985) is a healthcare organization registered as a family in Pine Bluff, Arkansas and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through October 30, 2026, maintains a secondary practice location in Little Rock, and lists Theresa Ann Lybrand, Owner, as its authorized official.

NPPES Registry Identity

NPI1083285985
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameAUTONOMY HEALTH CARE PROVIDERS LLC
Location Address1700 DOCTORS DRPine Bluff, AR 71603-7015
Mailing Address1700 Doctors DrPine Bluff, AR 71603-7015 · (870) 534-2900 · Fax (501) 207-8925
Phone(870) 534-2900
Fax(501) 207-8925
Organization SubpartNo
Authorized OfficialTheresa Ann LybrandOwner · (501) 765-9214
Enumeration DateJuly 2, 2021
Last NPPES UpdateJanuary 6, 20266 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2026
✔ NPI 1083285985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1700 DOCTORS DR, Pine Bluff, AR 71603
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Secondary Practice Location 1

Location 1415 N McKinley St Ste 1095Little Rock, AR 72205-3203 · Phone (870) 619-1155

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2271274

Autonomy Healthcare Providers · Pine Bluff, AR
Active · expires Oct 30, 2026
CLIA Number04D2271274
Laboratory TypePhysician Office
Certificate Effective DateOctober 31, 2024
Certificate Expiration DateOctober 30, 2026
Laboratory DirectorTheresa A. Lybrand
Laboratory Phone(870) 619-1155
Laboratory LocationAutonomy Healthcare Providers1700 Doctor's Drive, Pine Bluff, AR 71603
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Autonomy Health Care Providers LLC's NPI number?

The NPI number for Autonomy Health Care Providers LLC is 1083285985. It was assigned to this organization in the NPPES registry on July 2, 2021.

Where is Autonomy Health Care Providers LLC located?

Autonomy Health Care Providers LLC is located at 1700 Doctors Dr, Pine Bluff, AR 71603. The listed phone number is (870) 534-2900.

What is Autonomy Health Care Providers LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Autonomy Health Care Providers LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2271274) is associated with this NPI, valid through October 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Autonomy Health Care Providers LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Autonomy Health Care Providers LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Autonomy Health Care Providers LLC was last updated on January 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.