Healthy Connections Specialty, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

HEALTHY CONNECTIONS SPECIALTY, LLC

Practice address

1201 Mena St
Mena, AR 71953-4280

Phone

(479) 437-3300

NPI assigned

May 21, 2018

Last updated

May 13, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

HEALTHY CONNECTIONS SPECIALTY, LLCAs reported in NPPES

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

Authorized official

Name

Shana Bush

Title

Credentialing Specialist

Phone

(479) 437-3449

Specialties & licenses 4

Addresses

Part of

Healthy Connections Specialty LLC

Locations

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1427549047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1848",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719531841",
            "telephone_number": "479-437-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 MENA ST",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719534280",
            "telephone_number": "479-437-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY CONNECTIONS SPECIALTY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTHY CONNECTIONS SPECIALTY, LLC",
        "enumeration_date": "2018-05-21",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "SHANA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "479-437-3449"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Hatch, FNP
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• Healthy Connections Inc
• Healthy Connections Incorporated
• Healthy Connections Specialty, LLC
• Healthy Connections, Inc. (Healthy Connections Community Pharmacy)
• David Henderson, M.D.
• Teresa D Henderson, M.S., LPEI
• Chad Hill
• Deborah L Hobson, PD

• General Practice Physician in Mena, AR
• Providers in Mena, AR by specialty
• General Practice Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.