Lle Medical Management

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AO1691 Issued in AR

Legal business name

LLE MEDICAL MANAGEMENT

Practice address

606 W Arch Ave
Ste a
Searcy, AR 72143-5206

Phone

(501) 279-0211

Fax

(501) 279-0213

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Lori L Ellis, APN

Title

Owner

Phone

(501) 279-0211

Specialties & licenses 1

Addresses

Other names 1

• West Arch Internal Medicine Doing business as

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124153259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 W ARCH AVE",
            "address_2": "STE A",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721435206",
            "telephone_number": "501-279-0211",
            "fax_number": "501-279-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 W ARCH AVE",
            "address_2": "STE A",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721435206",
            "telephone_number": "501-279-0211",
            "fax_number": "501-279-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLE MEDICAL MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-279-0211",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "AO1691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Arch Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kacy Long
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• Family Nurse Practitioner in Searcy, AR
• Providers in Searcy, 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 Aug 22, 2020; 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.