Alpha Horn Classes

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

21420274 Issued in AR

Legal business name

ALPHA HORN CLASSES

Practice address

709 SE 2ND St
Bryant, AR 72022-4062

Phone

(501) 240-3579

Fax

(501) 847-3010

NPI assigned

Sep 10, 2015

Last updated

Sep 10, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Renee Macshalle Wells, REGISTERED NURSENPI 1316338189

Title

Certified Diabetes Educator

Phone

(501) 240-3579

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Renee Wells

  • Diabetes Educator Registered Nurse
  • Bryant, AR
  • NPI 1316338189
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1427426204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25851",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722215851",
            "telephone_number": "501-240-3579",
            "fax_number": "501-847-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 SE 2ND ST",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720224062",
            "telephone_number": "501-240-3579",
            "fax_number": "501-847-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA HORN CLASSES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-10",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "MACSHALLE",
        "authorized_official_title_or_position": "CERTIFIED DIABETES EDUCATOR",
        "authorized_official_telephone_number": "501-240-3579",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "AR",
            "license": "21420274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kristin Anderson
• Amanda Andres, MHPP
• Brianna Michelle Andrews

• Health Maintenance Organization in Bryant, AR
• Providers in Bryant, AR by specialty
• Health Maintenance Organization in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.