Complete Health With Pace

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

License

H6342 Issued in AR

Legal business name

COMPLETE HEALTH WITH PACE

Practice address

2100 Pike Ave
North Little Rock, AR 72114-2604

Phone

(501) 376-8852

Fax

(501) 978-2801

NPI assigned

Mar 28, 2016

Organization subpart

Yes

Parent organization

BAPTIST HEALTHAs reported in NPPES

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

Authorized official

Name

Robert Roberts

Title

VP and Cfo of Baptist Health

Phone

(501) 202-1542

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Baptist Health Fam Clinic

Practitioners 2

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

• Katelyn Layne Hatfield

  • Primary Care Nurse Practitioner
  • North Little Rock, AR
  • NPI 1083363592
  NPD (past)
• Jessica Wilkinson, LCSW

  • Social Worker
  • Baton Rouge, LA
  • NPI 1013321942
  NPD (past)

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1184086175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 PIKE AVE",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721142604",
            "telephone_number": "501-376-8852",
            "fax_number": "501-978-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 PIKE AVE",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721142604",
            "telephone_number": "501-376-8852",
            "fax_number": "501-978-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE HEALTH WITH PACE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST HEALTH",
        "enumeration_date": "2016-03-28",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VP AND CFO OF BAPTIST HEALTH",
        "authorized_official_telephone_number": "501-202-1542"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "AR",
            "license": "H6342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16PACE1",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jan Elizabeth Collins, MPT
• Kevin Jerome Collins, MD
• Morgan Nicole Collins, COTA
• Amy L Collinsworth, MD
• Complete Chiropractic, Inc.
• Complete Home Care Supply Inc.
• Concentra Health Services Inc
• Susan D Conley, MD
• Thomas D Conley, MD
• Robert W Conner, CRNA

• PACE Provider Organization in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• PACE Provider Organization in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.