Organization Active NPI

North Arkansas Regenerative Medicine LTD.

  • Family Medicine Physician
  • Springdale, AR
National Provider Identifier
1356981641
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Jul 27, 2021

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Primary Care Clinic/Center 261QP2300X
Durable Medical Equipment & Medical Supplies 332B00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1194783472MedicaidAR

Other names 1

  • Enhanced Healthcare of the Ozarks Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kaylee@enhanced-healthcare.org Direct

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.