NOBULLE PRIMARY CARE
NPI 1427947738
Nurse Practitioner in El Dorado, AR

Active since July 01, 2025CLIA 04D1103853 · Microscopy
1000 N COLLEGE AVE, EL DORADO, AR 71730(870) 881-8008(870) 862-7374 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2025, Jul 1, 2025 (2 updates tracked since 2025).

About Nobulle Primary Care NPPES

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

NOBULLE PRIMARY CARE (NPI 1427947738) is a healthcare organization registered as a nurse practitioner in El Dorado, Arkansas and active in the NPI registry since July 2025. The organization holds a CLIA Microscopy certificate valid through August 18, 2027 and lists Amy Coonfield, Billing Director, as its authorized official.

NPPES Registry Identity

NPI1427947738
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameNOBULLE PRIMARY CARE
Location Address1000 N COLLEGE AVEEl Dorado, AR 71730-3711
Mailing Address1000 N College AveEl Dorado, AR 71730-3711 · (870) 881-8008 · Fax (870) 862-7374
Fax(870) 862-7374
Organization SubpartNo
Authorized OfficialAmy CoonfieldBilling Director · (501) 299-9591
Enumeration DateJuly 1, 2025
Last NPPES UpdateJuly 18, 20252 updates tracked since enumeration
NPPES CertifiedJuly 18, 2025
NPI 1427947738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1000 N COLLEGE AVE, El Dorado, AR 71730

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 for Provider-Performed Microscopy Procedures (PPMP) 04D1103853

Nobulle Primary Care · El Dorado, AR
Active · expires Aug 18, 2027
CLIA Number04D1103853
Laboratory TypePhysician Office
Certificate Effective DateAugust 19, 2025
Certificate Expiration DateAugust 18, 2027
Laboratory DirectorAnita M. Burleson
Laboratory Phone(870) 881-8008
Laboratory LocationNobulle Primary Care1000 N College Ave, El Dorado, AR 71730
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
1000 N COLLEGE AVE
EL DORADO, AR 71730

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 Nobulle Primary Care's NPI number?

The NPI number for Nobulle Primary Care is 1427947738. It was assigned to this organization in the NPPES registry on July 1, 2025.

Where is Nobulle Primary Care located?

Nobulle Primary Care is located at 1000 N College Ave, El Dorado, AR 71730. The listed phone number is (870) 881-8008.

What is Nobulle Primary Care's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Nobulle Primary Care hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 04D1103853) is associated with this NPI, valid through August 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Nobulle Primary Care was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.