National Park Family Care, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MC1391 Issued in AR

Legal business name

NATIONAL PARK FAMILY CARE, LLC

Doing business as

Hollywood Avenue Family Clinic

Practice address

124 Hollywood Ave
Hot Springs, AR 71901-7057

Phone

(501) 624-0070

Fax

(501) 624-8721

NPI assigned

Feb 10, 2011

Last updated

Feb 9, 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

Monica Bowman

Title

President

Phone

(615) 920-7000

Specialties & licenses 1

Addresses

Other names 1

• Hollywood Avenue Family Clinic Doing business as

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.

• Lance E Tuetken, M.D.

  • Family Medicine Physician
  • Jonesboro, AR
  • NPI 1992767792
  NPD (past)

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1508162496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4811",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154811",
            "telephone_number": "501-624-0070",
            "fax_number": "501-624-8721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 HOLLYWOOD AVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017057",
            "telephone_number": "501-624-0070",
            "fax_number": "501-624-8721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL PARK FAMILY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-10",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "MC1391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hollywood Avenue Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hollywood Avenue Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kacie Rhea Nash, MHPP
• Betty Nation, LPN
• Trevor Nation, QBHP
• National Park Cardiology Services, LLC
• National Park Endoscopy Center, LLC (South Central Endoscopy)
• National Park Gi Services LLC
• National Park Pharmacy
• Nationwide EMS LLC (9th Cloud Wellness)
• Natural Hearing Centers
• Natural State Behavioral Health

• Family Medicine Physician in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Family Medicine Physician in Arkansas

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

Verify at the official NPI Registry.