Organization Active NPI

A Clinic for Women

  • Gynecology Physician
  • Little Rock, AR
National Provider Identifier
1447305461
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
MC1819 Issued in AR
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, 2020By the provider in NPPES
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
Mrs. Linda Lee Jennings
Title
Insurance Clerk
Phone
(501) 663-5055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.