Active NPI
Clare Haugen
- Massage Therapist
- Springdale, AR
National Provider Identifier
1366267478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 1616566
- Practice address
- 7260 Village Park Ave Unit a
Springdale, AR 72762-3074 - Phone
- (479) 751-2322
- NPI assigned
- Nov 22, 2024
- Last updated
- Dec 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 1616566 | AR | Primary |
Addresses
Primary practice location
7260 Village Park Ave Unit a
Springdale, AR 72762-3074
Mailing address
20751 Blue Springs Rd
Lot 70
Springdale, AR 72764
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1616566 | AR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buena Vida Chiropractic LLC | Single Specialty | Current | Accepting new patients |
Locations
7260 Village Park Ave
Ste A
Springdale, AR 72762
Phone (479) 751-2322
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1366267478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20751 BLUE SPRINGS RD",
"address_2": "LOT 70",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "72764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7260 VILLAGE PARK AVE UNIT A",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727623074",
"telephone_number": "479-751-2322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUGEN",
"first_name": "CLARE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-22",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AR",
"license": "1616566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.