NPIMap

Organization Active NPI

Heather Lienhart

  • Occupational Medicine Clinic/Center
  • Bryant, AR
National Provider Identifier
1457772279
Registry record updated Nov 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
OTR2323 Issued in AR
Legal business name
HEATHER LIENHART
Practice address
908 N Reynolds Rd
Bryant, AR 72022-3034
Phone
(479) 967-2322
NPI assigned
Dec 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2019

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

Authorized official

Name
Karla Whiffen
Title
Accountant
Phone
(479) 967-2322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X OTR2323 AR Primary

Addresses

Primary practice location

908 N Reynolds Rd
Bryant, AR 72022-3034

Mailing address

PO Box 2109
Russellville, AR 72811-2109
Phone (479) 967-2322

Other identifiers 1

IdentifierTypeStateIssuer
179442721MedicaidAR

National Provider Directory

National Provider Directory
Tax ID family
Eddy Marie Horton OT3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573257600000",
    "number": "1457772279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2109",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728112109",
            "telephone_number": "479-967-2322",
            "fax_number": "479-967-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N REYNOLDS RD",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720223034",
            "telephone_number": "479-967-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER LIENHART",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-20",
        "last_updated": "2019-11-09",
        "status": "A",
        "authorized_official_last_name": "WHIFFEN",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "479-967-2322"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "AR",
            "license": "OTR2323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179442721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryant, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2019; 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.