Metheny Family Care Clinic Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

METHENY FAMILY CARE CLINIC CORP

Practice address

106 Water Ave Ste a
Elm Springs, AR 72762-9155

Phone

(479) 844-4300

Fax

(479) 844-4201

NPI assigned

Oct 30, 2023

Organization subpart

Yes

Parent organization

METHENY FAMILY CARE CLINICAs reported in NPPES

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

Authorized official

Name

Leann W Metheny, DNPNPI 1598052250

Title

Owner

Phone

(479) 844-4300

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

Part of

Metheny Family Care Clinic Corp

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Metheny Family Care Clinic Corp

  • Nurse Practitioner
  • Springdale, AR
  • NPI 1831709518
  NPPES parent name

Practitioners 1

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

• Leann W Metheny, DNP, FNP-BC, NP-C

  • Nurse Practitioner
  • Springdale, AR
  • NPI 1598052250
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1114799483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83",
            "city": "ELM SPRINGS",
            "state": "AR",
            "postal_code": "727280083",
            "telephone_number": "479-844-4300",
            "fax_number": "479-844-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 WATER AVE STE A",
            "city": "ELM SPRINGS",
            "state": "AR",
            "postal_code": "727629155",
            "telephone_number": "479-844-4300",
            "fax_number": "479-844-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHENY FAMILY CARE CLINIC CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "METHENY FAMILY CARE CLINIC",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "METHENY",
        "authorized_official_first_name": "LEANN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-844-4300",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Celesta Carroway, SSP
• Lacie Nicole Eubanks
• Courtney Suzanne Finley
• Tyler Jensen, M.S., LAC
• Tiara Lyn Mataia, OTR/L
• Robin Raquel Pinkley, RN
• R F Consulting LLC
• Christina Villanueva Gonzalez
• Darby Rae Vrana

• Clinic/Center in Elm Springs, AR
• Providers in Elm Springs, AR by specialty
• Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.