{
"Npi": {
"NPI": "1790311314",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HILL",
"FirstName": "ANGELA",
"MiddleName": "MICHAELA",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "PMHNP-BC, APRN",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "HOLYFIELD",
"OtherFirstName": "ANGELA",
"OtherMiddleName": "MICHAELA",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "PMHNP-BC, APRN",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "1605 DEBSWOOD DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BRYANT",
"MailingAddressStateName": "AR",
"MailingAddressPostalCode": "72022-2826",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "501-304-0807",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "135 SAWTOOTH OAK ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HOT SPRINGS",
"PracticeLocationAddressStateName": "AR",
"PracticeLocationAddressPostalCode": "71901-7160",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "501-781-3122",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/15/2020",
"LastUpdateDate": "01/08/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "363LP0808X",
"TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
"LicenseNumber": "122455",
"LicenseNumberStateCode": "AR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}