Organization Active NPI

Little Rock Fertility Center

  • Ambulatory Surgical Clinic/Center
  • Little Rock, AR
National Provider Identifier
1396897260
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
AR4372 Issued in AR
Legal business name
LITTLE ROCK FERTILITY CENTER
Practice address
9101 Kanis Rd
Suite 300
Little Rock, AR 72205-6417
Phone
(501) 801-1200
Fax
(501) 801-1207
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Sarah L Humphriesh, MNSC
Title
Clinical Administrator
Phone
(501) 801-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X AR4372 AR Primary

Addresses

Primary practice location

9101 Kanis Rd
Suite 300
Little Rock, AR 72205-6417

Mailing address

9101 Kanis Rd
Suite 300
Little Rock, AR 72205-6417
Phone (501) 801-1200

Other identifiers 1

IdentifierTypeStateIssuer
AR4372OtherARSTATE FACILITY LICENSE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D0467092Little Rock Fertility Center9101 Kanis Road, Suite 300, Little Rock, AR 72205AccreditationApr 16, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396897260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 KANIS RD",
            "address_2": "SUITE 300",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056417",
            "telephone_number": "501-801-1200",
            "fax_number": "501-801-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 KANIS RD",
            "address_2": "SUITE 300",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056417",
            "telephone_number": "501-801-1200",
            "fax_number": "501-801-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE ROCK FERTILITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUMPHRIESH",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICAL ADMINISTRATOR",
        "authorized_official_telephone_number": "501-801-1200",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MNSC"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AR",
            "license": "AR4372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE FACILITY LICENSE",
            "identifier": "AR4372",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.