Organization Active NPI

Compass Concierge Healthcare, LLC

  • Primary Care Clinic/Center
  • Arkadelphia, AR
National Provider Identifier
1427459304
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
COMPASS CONCIERGE HEALTHCARE, LLC
Practice address
2606 Pine St
Arkadelphia, AR 71923-4204
Phone
(870) 210-5243
NPI assigned
Sep 10, 2014
Last updated
Sep 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Authorized official

Name
Mrs. Cassie L Gonzales, APRN
Title
CNP
Phone
(870) 210-5243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

2606 Pine St
Arkadelphia, AR 71923-4204

Mailing address

2606 Pine St
Arkadelphia, AR 71923-4204
Phone (870) 210-5243

National Provider Directory

National Provider Directory

Locations

2606 Pine St
Arkadelphia, AR 71923
Phone (870) 210-5243

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1427459304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 PINE ST",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719234204",
            "telephone_number": "870-210-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 PINE ST",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719234204",
            "telephone_number": "870-210-5243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS CONCIERGE HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "CASSIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CNP",
        "authorized_official_telephone_number": "870-210-5243",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arkadelphia, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.