Active NPI
Falwell Medical Clinic Inc
- Primary Care Nurse Practitioner
- Newport, AR
National Provider Identifier
1184194409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vanessa Falwell, APRN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Family Nurse Practitioner
- Newport, AR
- NPI 1629577697
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.