Organization Active NPI

Women's Health Associates of Nwa, PLLC

  • Obstetrics & Gynecology Physician
  • Bentonville, AR
National Provider Identifier
1053778266
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
E-3417 Issued in AR
Legal business name
WOMEN'S HEALTH ASSOCIATES OF NWA, PLLC
Practice address
500 SE Plaza Ave
Bentonville, AR 72712
Phone
(479) 876-8111
Fax
(479) 876-8110
NPI assigned
Jan 19, 2016
Last updated
Apr 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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

Authorized official

Name
Kendra Bliss
Title
Office Manager
Phone
(479) 876-8111

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X E-7546 AR
Obstetrics & Gynecology Physician 207V00000X E-6081 AR
Obstetrics & Gynecology Physician 207V00000X E-3417 AR Primary

Addresses

Primary practice location

500 SE Plaza Ave
Bentonville, AR 72712

Mailing address

500 SE Plaza Ave
Bentonville, AR 72712-3104
Phone (479) 876-8111

National Provider Directory

National Provider Directory

Locations

3511 SE J St
Bentonville, AR 72712

NPI Registry JSON

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554681600000",
    "number": "1053778266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SE PLAZA AVE",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123104",
            "telephone_number": "479-876-8111",
            "fax_number": "479-876-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SE PLAZA AVE",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "72712",
            "telephone_number": "479-876-8111",
            "fax_number": "479-876-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S HEALTH ASSOCIATES OF NWA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-19",
        "last_updated": "2019-04-08",
        "status": "A",
        "authorized_official_last_name": "BLISS",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "479-876-8111"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "E-7546",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "E-6081",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "E-3417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.