Active NPI
Linctohealth
- Gerontology Nurse Practitioner
- Springdale, AR
National Provider Identifier
1487426375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- Legal business name
- LINCTOHEALTH
- Practice address
- 4190 Ravenwood
Springdale, AR 72762-0575 - Phone
- (479) 263-9376
- Fax
- (623) 666-6644
- NPI assigned
- Oct 25, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marie Lauren Hatfield, APRN
- Title
- Ceo
- Phone
- (479) 263-9376
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Gerontology Nurse Practitioner | 363LG0600X | Primary |
Addresses
Primary practice location
4190 Ravenwood
Springdale, AR 72762-0575
Mailing address
4190 Ravenwood
Springdale, AR 72762-0575
Phone (479) 263-9376
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Springdale, AR
- NPI 1558748657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698796800000",
"number": "1487426375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4190 RAVENWOOD",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727620575",
"telephone_number": "479-263-9376",
"fax_number": "623-666-6644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4190 RAVENWOOD",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727620575",
"telephone_number": "479-263-9376",
"fax_number": "623-666-6644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINCTOHEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-25",
"last_updated": "2023-11-01",
"certification_date": "2023-11-01",
"status": "A",
"authorized_official_last_name": "HATFIELD",
"authorized_official_first_name": "MARIE",
"authorized_official_middle_name": "LAUREN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "479-263-9376",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.