NPIMap

Organization Active NPI

Lindsey Walley MD PLLC PA

Doing business as Nutt-Walley Clinic

  • Rural Health Clinic/Center
  • Fordyce, AR
National Provider Identifier
1275967390
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
E5091 Issued in AR
Legal business name
LINDSEY WALLEY MD PLLC PA
Doing business as
Nutt-Walley Clinic
Practice address
110 N Clifton St
Fordyce, AR 71742-3025
Phone
(870) 352-3525
Fax
(870) 352-3533
NPI assigned
Aug 26, 2013
Last updated
Oct 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Authorized official

Name
Dr. Lindsey Walley, MDNPI 1851470140
Title
Physician/Owner
Phone
(870) 352-3525

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Rural Health Clinic/Center 261QR1300X E5091 AR Primary

Addresses

Primary practice location

110 N Clifton St
Fordyce, AR 71742-3025

Mailing address

110 N Clifton St
Fordyce, AR 71742-3025
Phone (870) 352-3525

Other names 1

  • NUTT-WALLEY CLINIC Doing business as

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": "1377475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1275967390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N CLIFTON ST",
            "city": "FORDYCE",
            "state": "AR",
            "postal_code": "717423025",
            "telephone_number": "870-352-3525",
            "fax_number": "870-352-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N CLIFTON ST",
            "city": "FORDYCE",
            "state": "AR",
            "postal_code": "717423025",
            "telephone_number": "870-352-3525",
            "fax_number": "870-352-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDSEY WALLEY MD PLLC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-26",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "WALLEY",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "870-352-3525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "AR",
            "license": "E5091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NUTT-WALLEY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fordyce, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; 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.