Active NPI
North Arkansas Regenerative Medicine LTD.
- Family Medicine Physician
- Springdale, AR
National Provider Identifier
1356981641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- NORTH ARKANSAS REGENERATIVE MEDICINE LTD.
- Practice address
- 2988 W Huntsville Ave Ste C
Springdale, AR 72762-7739 - Phone
- (479) 751-0190
- Fax
- (479) 751-6011
- NPI assigned
- Jan 14, 2020
- 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
- Leah M Carrington, NP
- Title
- Nurse Practitioner
- Phone
- (479) 757-0190
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Primary Care Clinic/Center | 261QP2300X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
2988 W Huntsville Ave Ste C
Springdale, AR 72762-7739
Mailing address
2988 W Huntsville Ave Ste C
Springdale, AR 72762-7739
Phone (479) 751-0190
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194783472 | Medicaid | AR |
Other names 1
- Enhanced Healthcare of the Ozarks
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kaylee@enhanced-healthcare.org | Direct |
National Provider Directory
National Provider DirectoryLocations
5102 W Pauline Whitaker Pkwy
Ste 124
Rogers, AR 72758
Phone (479) 278-2703
2988 W Huntsville Ave
Springdale, AR 72762
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Mountain Home, AR
- NPI 1447438247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627344000000",
"number": "1356981641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2988 W HUNTSVILLE AVE STE C",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727627739",
"telephone_number": "479-751-0190",
"fax_number": "479-751-6011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2988 W HUNTSVILLE AVE STE C",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727627739",
"telephone_number": "479-751-0190",
"fax_number": "479-751-6011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH ARKANSAS REGENERATIVE MEDICINE LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-14",
"last_updated": "2021-07-27",
"certification_date": "2021-07-27",
"status": "A",
"authorized_official_last_name": "CARRINGTON",
"authorized_official_first_name": "LEAH",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "479-757-0190",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1194783472",
"state": "AR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kaylee@enhanced-healthcare.org",
"affiliation": "N",
"endpointDescription": "Secure Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2988 W Huntsville Ave Ste C",
"city": "Springdale",
"state": "AR",
"country_code": "US",
"postal_code": "727627739",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Enhanced Healthcare of the Ozarks",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.