Organization Active NPI

Vive Health Solutions

  • General Practice Physician
  • Rogers, AR
National Provider Identifier
1518232297
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
VIVE HEALTH SOLUTIONS
Practice address
5309 Village Pkwy
Suite 3
Rogers, AR 72758-8102
Phone
(901) 756-5565
Fax
(901) 756-5564
NPI assigned
Mar 14, 2012
Last updated
Mar 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Authorized official

Name
Pam Alexander
Title
Administrator
Phone
(901) 756-5565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

5309 Village Pkwy
Suite 3
Rogers, AR 72758-8102

Mailing address

PO Box 17504
Memphis, TN 38187-0504

National Provider Directory

National Provider Directory

Locations

5309 W Village Pkwy
Ste 3
Rogers, AR 72758
Phone (479) 275-4152

NPI Registry JSON

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1518232297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17504",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381870504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5309 VILLAGE PKWY",
            "address_2": "SUITE 3",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588102",
            "telephone_number": "901-756-5565",
            "fax_number": "901-756-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVE HEALTH SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "901-756-5565"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.