Individual provider Active NPI

Laureen L. Benafield, MD

  • Pediatrics Physician
  • Fayetteville, AR
National Provider Identifier
1023053733
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
E-2614 Issued in AR
Practice address
3380 N Futrall Dr Ste 1
Fayetteville, AR 72703
Phone
(479) 442-7322
Fax
(479) 442-7379
NPI assigned
Jun 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X E-2614 AR Primary

Addresses

Primary practice location

3380 N Futrall Dr Ste 1
Fayetteville, AR 72703

Mailing address

PO Box 1523
Fayetteville, AR 72702-1523
Phone (479) 571-6038

Other identifiers 2

IdentifierTypeStateIssuer
140687001MedicaidAR
5L582OtherARAR BC/BS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address laureen.benafield@mana.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051122000070 AR Practitioner - Pediatric Medicine 5395764641 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-2614ARMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Northwest Arkansas, PA Current Accepting new patients
Medical Associates of Northwest Arkansas PA CurrentSince Jul 1, 2013 Accepting new patients
Medical Associates of Northwest Arkansas PA CurrentSince Jul 1, 2013 Accepting new patients
Medical Associates of Northwest Arkansas PA Past Accepting new patients
Medical Associates of Northwest Arkansas PA Pediatrics Past Accepting new patients
Medical Associates of Northwest Arkansas PA Pediatrics Past Accepting new patients
Medical Associates of Northwest Arkansas PA Past Accepting new patients

Locations

3380 N Futrall Dr
Ste 1
Fayetteville, AR 72703
Phone (479) 442-7322

3380 N Futrall Dr
Ste 3
Fayetteville, AR 72703
Phone (479) 442-7322

3380 N Futrall Dr
Fayetteville, AR 72703
Phone (479) 442-7322

3344 N Futrall Dr
Fayetteville, AR 72703
Phone (479) 582-7213

3383 N Mana Ct
Ste 101
Fayetteville, AR 72703
Phone (479) 442-7322

3730 S Pinnacle Hills Pkwy
Ste 3
Rogers, AR 72758
Phone (479) 221-8902

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GFDBBD/Endpoint/GFDBBD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1023053733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1523",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727021523",
            "telephone_number": "479-571-6038",
            "fax_number": "479-582-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 N FUTRALL DR STE 1",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "72703",
            "telephone_number": "479-442-7322",
            "fax_number": "479-442-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENAFIELD",
        "first_name": "LAUREEN",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E-2614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140687001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BC/BS",
            "identifier": "5L582",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laureen.benafield@mana.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Provider's direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3380 N Futrall Dr Ste 1",
            "city": "Fayetteville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "72703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.