Access Family Medicine, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ACCESS FAMILY MEDICINE, INC.

Practice address

1505 Winterbrook Dr
Conway, AR 72034-3564

Phone

(479) 968-7930

NPI assigned

Jan 30, 2013

Last updated

Mar 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristi Short

Title

Credentialing Officer

Phone

(479) 498-6700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1013255777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9178",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728119178",
            "telephone_number": "479-498-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 WINTERBROOK DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343564",
            "telephone_number": "479-968-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS FAMILY MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-30",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "CREDENTIALING OFFICER",
        "authorized_official_telephone_number": "479-498-6700"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abilities, Inc.
• Ladly Abraham, MD
• Anna Abrams, SLP
• Caitlyn Elizabeth Abreu, BT
• Access Counseling & Assessment Services, LLC
• Access Psychiatry LLC
• Brandon Acklin, RECOVERY ASSISTANT
• Joslyn Acklin
• Acts of H & K , Case MGT Agency
• Erick Acuchi, QBHP

• Clinic/Center in Conway, AR
• Providers in Conway, AR by specialty
• Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.