Beck Family Medical Clinic PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F0513126 Issued in AR

Legal business name

BECK FAMILY MEDICAL CLINIC PLLC

Doing business as

Hilltop Family Medical Clinic

Practice address

38 Marty LN
Hattieville, AR 72063-8930

Phone

(501) 977-0102

Fax

(501) 977-0120

NPI assigned

Nov 12, 2015

Last updated

Dec 10, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nataille C Beck, APNNPI 1629418553

Title

Certified Nurse Practioner

Phone

(501) 977-0102

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Hilltop Family Medical Clinic Doing business as

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

Locations

Practitioners 2

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.

• Nataille Cheree Beck, ANP

  • Family Nurse Practitioner
  • Russellville, AR
  • NPI 1629418553
  Medicare reassignment Authorized official
• Lauren Jackson, APRN

  • Family Nurse Practitioner
  • Atkins, AR
  • NPI 1114650322
  Medicare reassignment NPD

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1215300264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6",
            "city": "HATTIEVILLE",
            "state": "AR",
            "postal_code": "720630006",
            "telephone_number": "501-977-0102",
            "fax_number": "501-977-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 MARTY LN",
            "city": "HATTIEVILLE",
            "state": "AR",
            "postal_code": "720638930",
            "telephone_number": "501-977-0102",
            "fax_number": "501-977-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECK FAMILY MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "NATAILLE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CERTIFIED NURSE PRACTIONER",
        "authorized_official_telephone_number": "501-977-0102",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "F0513126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1629418553",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198622758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hilltop Family Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bowden Medical Services PLLC (Hilltop Medical Spa and Wellness)
• Foothill Diagnostic
• Dustin Goodwyn
• Sarah Hensley, RN
• Tim Hennessey Parmley II, M. D.

• Nurse Practitioner in Hattieville, AR
• Providers in Hattieville, AR by specialty
• Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.