Organization Active NPI

Apollo Health, LLC

  • Family Medicine Physician
  • Little Rock, AR
National Provider Identifier
1003425703
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
APOLLO HEALTH, LLC
Practice address
11715 Rainwood Rd Ste B6
Little Rock, AR 72212-3968
Phone
(479) 242-1003
Fax
(479) 782-5502
NPI assigned
Jul 28, 2020
Last updated
Jul 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sarah RackleyNPI 1568328722
Title
Office Manager
Phone
(479) 242-1003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

11715 Rainwood Rd Ste B6
Little Rock, AR 72212-3968

Mailing address

11715 Rainwood Rd Ste B6
Little Rock, AR 72212-3968
Phone (479) 242-1003

National Provider Directory

National Provider Directory

Locations

11715 Rainwood Rd
Ste B6
Little Rock, AR 72212
Phone (479) 242-1003

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595894400000",
    "number": "1003425703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11715 RAINWOOD RD STE B6",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722123968",
            "telephone_number": "479-242-1003",
            "fax_number": "479-782-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11715 RAINWOOD RD STE B6",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722123968",
            "telephone_number": "479-242-1003",
            "fax_number": "479-782-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A",
        "authorized_official_last_name": "RACKLEY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "479-242-1003"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.