Individual provider Active NPI

Arlinda Blackwell-El, HOLISTIC PRACTITIONE

  • Health & Wellness Coach
  • Conway, AR
National Provider Identifier
1477290476
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
832 Chestnut St Ste 102
Conway, AR 72032-5434
Phone
(501) 205-1178
NPI assigned
May 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X AR Primary

Addresses

Primary practice location

832 Chestnut St Ste 102
Conway, AR 72032-5434

Mailing address

2200 Meadowlake Rd Apt 413
Conway, AR 72032-2548
Phone (607) 760-9608

Other identifiers 2

IdentifierTypeStateIssuer
1497492219OtherARLLRCNH
15579922OtherARCAQH

Other names 1

  • Arlinda Blackwell Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL anu.kreations1@yahoo.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lavender Lotus Reiki Centter for Natural Healings CurrentSince May 22, 2022 Accepting new patients

Locations

832 Chestnut St
Ste 102
Conway, AR 72032
Phone (501) 205-1178

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1477290476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 MEADOWLAKE RD APT 413",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720322548",
            "telephone_number": "607-760-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 CHESTNUT ST STE 102",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720325434",
            "telephone_number": "501-205-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL-EL",
        "first_name": "ARLINDA",
        "credential": "HOLISTIC PRACTITIONE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LLRCNH",
            "identifier": "1497492219",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15579922",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "anu.kreations1@yahoo.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "anu.kreations1@yahoo.com",
            "address_1": "832 Chestnut St Ste 102",
            "city": "Conway",
            "state": "AR",
            "country_code": "US",
            "postal_code": "720325434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ARLINDA",
            "last_name": "BLACKWELL",
            "credential": "HOLISTIC PRACTITIONE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.