Organization Active NPI

Falwell Medical Clinic Inc

  • Primary Care Nurse Practitioner
  • Newport, AR
National Provider Identifier
1184194409
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
FALWELL MEDICAL CLINIC INC
Practice address
1301 McLain St
Newport, AR 72112-3633
Phone
(870) 217-4071
Fax
(870) 217-4072
NPI assigned
Nov 29, 2018
Last updated
Dec 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Authorized official

Name
Vanessa Falwell, APRNNPI 1629577697
Title
Owner
Phone
(870) 217-4071

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X NU Primary

Addresses

Primary practice location

1301 McLain St
Newport, AR 72112-3633

Mailing address

1301 McLain St
Newport, AR 72112-3633
Phone (870) 217-4071

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543881600000",
    "number": "1184194409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 MCLAIN ST",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721123633",
            "telephone_number": "870-217-4071",
            "fax_number": "870-217-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MCLAIN ST",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721123633",
            "telephone_number": "870-217-4071",
            "fax_number": "870-217-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALWELL MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-12-04",
        "status": "A",
        "authorized_official_last_name": "FALWELL",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-217-4071",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.