Organization Active NPI

BC Health and Wellness LLC

  • Family Nurse Practitioner
  • Bentonville, AR
National Provider Identifier
1093536609
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
BC HEALTH AND WELLNESS LLC
Practice address
8703 W Migration Way
Bentonville, AR 72713-2162
Phone
(479) 685-9809
NPI assigned
Oct 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Samantha Claire Chaligoj, NP
Title
Nurse Practioner
Phone
(479) 685-9809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

8703 W Migration Way
Bentonville, AR 72713-2162

Mailing address

8703 W Migration Way
Bentonville, AR 72713-2162
Phone (479) 685-9809

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1093536609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8703 W MIGRATION WAY",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727132162",
            "telephone_number": "479-685-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8703 W MIGRATION WAY",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727132162",
            "telephone_number": "479-685-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BC HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "CHALIGOJ",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "CLAIRE",
        "authorized_official_title_or_position": "NURSE PRACTIONER",
        "authorized_official_telephone_number": "479-685-9809",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "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 Oct 17, 2024; 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.