NPIMap

Organization Active NPI

Healthy Arkansas Family Practice & Urgent Care LLC

  • Family Medicine Physician
  • Redfield, AR
National Provider Identifier
1467055707
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HEALTHY ARKANSAS FAMILY PRACTICE & URGENT CARE LLC
Practice address
1500 N Highway 365
Redfield, AR 72132-9209
Phone
(870) 200-3212
Fax
(501) 200-3213
NPI assigned
Nov 19, 2020
Last updated
May 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Authorized official

Name
Shawn Gasaway, FNPNPI 1215561642
Title
Aprn
Phone
(501) 200-3212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

1500 N Highway 365
Redfield, AR 72132-9209

Mailing address

1500 N Highway 365
Redfield, AR 72132-9209
Phone (870) 200-3212

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL healthyarkansasfpuc.net Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1467055707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N HIGHWAY 365",
            "city": "REDFIELD",
            "state": "AR",
            "postal_code": "721329209",
            "telephone_number": "870-200-3212",
            "fax_number": "501-200-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N HIGHWAY 365",
            "city": "REDFIELD",
            "state": "AR",
            "postal_code": "721329209",
            "telephone_number": "870-200-3212",
            "fax_number": "501-200-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY ARKANSAS FAMILY PRACTICE & URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "GASAWAY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "501-200-3212",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "healthyarkansasfpuc.net",
            "affiliation": "N",
            "endpointDescription": "direct communication portal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "all communication",
            "address_1": "1500 N Highway 365",
            "city": "Redfield",
            "state": "AR",
            "country_code": "US",
            "postal_code": "721329209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Redfield, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.