Active NPI
A Clinic for Women
- Gynecology Physician
- Little Rock, AR
National Provider Identifier
1447305461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- MC1819
- Legal business name
- A CLINIC FOR WOMEN
- Practice address
- 500 South University Avenue
Suite 709
Little Rock, AR 72205-5309 - Phone
- (503) 663-5055
- Fax
- (501) 663-7065
- NPI assigned
- Jan 23, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Linda Lee Jennings
- Title
- Insurance Clerk
- Phone
- (501) 663-5055
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | MC1819 | AR | Primary |
Addresses
Primary practice location
500 South University Avenue
Suite 709
Little Rock, AR 72205-5309
Mailing address
500 South University Avenue
Suite 709
Little Rock, AR 72205-5309
Phone (503) 663-5055
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1447305461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 SOUTH UNIVERSITY AVENUE",
"address_2": "SUITE 709",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055309",
"telephone_number": "503-663-5055",
"fax_number": "501-663-7065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 SOUTH UNIVERSITY AVENUE",
"address_2": "SUITE 709",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722055309",
"telephone_number": "503-663-5055",
"fax_number": "501-663-7065"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A CLINIC FOR WOMEN",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JENNINGS",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "INSURANCE CLERK",
"authorized_official_telephone_number": "501-663-5055",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "AR",
"license": "MC1819",
"primary": true
}
],
"identifiers": [],
"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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.