Maumelle Family Medicine, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MAUMELLE FAMILY MEDICINE, LLC

Practice address

2001 Club Manor Dr Ste S
Maumelle, AR 72113-7417

Phone

(501) 734-8085

Fax

(501) 734-8088

NPI assigned

Mar 22, 2024

Organization subpart

No

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

Authorized official

Name

Laura Nicole Stallings, NPNPI 1174157424

Title

Owner

Phone

(501) 734-8085

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Nicole Stallings, APRN

  • Nurse Practitioner
  • Maumelle, AR
  • NPI 1174157424
  Medicare reassignment Care Compare group NPD Authorized official
• Tiffany Lack, APRN, FNP-BC

  • Family Nurse Practitioner
  • Maumelle, AR
  • NPI 1700431723
  Medicare reassignment Care Compare group NPD
• Destiny E Sellers, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Maumelle, AR
  • NPI 1639906787
  Medicare reassignment Care Compare group NPD
• Anna Prewitt, APRN

  • Family Nurse Practitioner
  • Maumelle, AR
  • NPI 1487440053
  Medicare reassignment NPD

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1033969290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 CLUB MANOR DR STE S",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721137417",
            "telephone_number": "501-734-8085",
            "fax_number": "501-734-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 CLUB MANOR DR STE S",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721137417",
            "telephone_number": "501-734-8085",
            "fax_number": "501-734-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUMELLE FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "STALLINGS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-734-8085",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maumelle Chiropractic Inc
• Maumelle Eye Care
• Maumelle Family Dental Care (Keith W. Smith, D.D.S.)
• Maumelle Family Dentistry
• Maumelle Family Dentistry, PLLC
• Maumelle Family Pharmacy LLC
• Maumelle Family Pharmacy LLC
• Maumelle Health Services, LLC (Maumelle Health & Rehab)
• Maumelle Investments & Associates, LLC (Grace Healthcare of Maumelle)
• Maumelle Medical Clinic

• Family Nurse Practitioner in Maumelle, AR
• Providers in Maumelle, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.