Dermahealing Consultants, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DERMAHEALING CONSULTANTS, LLC

Doing business as

Defyne Med Spa and Weightloss

Practice address

2217 Woodsprings Rd
Suite a
Jonesboro, AR 72404-8072

Phone

(870) 520-6241

Fax

(870) 520-6254

NPI assigned

Aug 16, 2016

Organization subpart

No

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

Authorized official

Name

Kristen McDaniel

Title

Office Manager

Phone

(870) 520-6241

Specialties & licenses 1

Addresses

Other names 1

• Defyne Med Spa and Weightloss Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Elizabeth George, APRN

  • Family Nurse Practitioner
  • Jonesboro, AR
  • NPI 1457768558
  NPD (past)

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1447705843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 WOODSPRINGS RD",
            "address_2": "SUITE A",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724048072",
            "telephone_number": "870-520-6241",
            "fax_number": "870-520-6254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 WOODSPRINGS RD",
            "address_2": "SUITE A",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724048072",
            "telephone_number": "870-520-6241",
            "fax_number": "870-520-6254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMAHEALING CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-520-6241"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Defyne Med Spa and Weightloss",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joe A Denton
• Kathryn Lori Denton, ANP
• Samuel B Denton, P.T.
• Starla Denton, PT
• Zachary Wayne Depew
• Gina Renea Deuter, MCD CCC-SLP
• Brandon Chaarles Devasier, MHPP
• Rita Devine
• Dinah M Dexter, LMSW
• Roger Dexter

• Family Medicine Physician in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.