Vive Infusion and Wellness

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

VIVE INFUSION AND WELLNESS

Doing business as

Vive Infusion and Wellness

Practice address

3410 E Johnson Ave Ste Z
Jonesboro, AR 72405-1876

Phone

(870) 336-1216

Fax

(870) 336-1215

NPI assigned

Dec 14, 2022

Last updated

Feb 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carrie Tate, PMHNPNPI 1245719590

Title

Owner

Phone

(870) 336-1216

Specialties & licenses 1

Addresses

Other names 1

• Vive Infusion and Wellness Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Carrie Tate, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Jonesboro, AR
  • NPI 1245719590
  NPD Authorized official

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1467164095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 E JOHNSON AVE STE Z",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724051876",
            "telephone_number": "870-336-1216",
            "fax_number": "870-336-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 E JOHNSON AVE STE Z",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724051876",
            "telephone_number": "870-336-1216",
            "fax_number": "870-336-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVE INFUSION AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-14",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-336-1216",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vive Infusion and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vive Infusion and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Infusion Therapy Clinic/Center in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Infusion Therapy Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.