Lindsey Walley MD PLLC PA

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

E5091 Issued in AR

Legal business name

LINDSEY WALLEY MD PLLC PA

Practice address

110 N Clifton St
Fordyce, AR 71742-3025

Phone

(870) 352-3525

Fax

(870) 352-3533

NPI assigned

Aug 26, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Lindsey Walley, MD

Title

Physician/Owner

Phone

(870) 352-3525

Specialties & licenses 2

Addresses

Other names 1

• NUTT-WALLEY CLINIC Doing business as

Locations

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"
        }
    ]
}

• Charles E. Kauffman Jr., D.D.S.
• Melanie Renee Kauffman, CCC-SLP
• Deirdra Sandoral Kervin, MHPP
• Shanna Lamb
• Lekita Lee, M.S., L.M.S.W.
• Brittany Livingston, LPC
• Sara Marie Mann, LPC
• Shanna Marlar, MHPP
• Christal Martindale, ANP
• Donna Martindale, MHPP

• All providers in Fordyce, AR
• Rural Health Clinic/Center in Arkansas

• 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.