Active NPI
Spa City Vascular and Wellness PLLC
- Nurse Practitioner
- Hot Springs, AR
National Provider Identifier
1609663293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- SPA CITY VASCULAR AND WELLNESS PLLC
- Practice address
- 3620 Central Ave Ste E
Hot Springs, AR 71913-6090 - Phone
- (501) 438-0111
- NPI assigned
- Apr 24, 2025
- 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
- Mrs. Sarah Reyna, APRN
- Title
- Aprn Owner
- Phone
- (501) 438-0111
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
3620 Central Ave Ste E
Hot Springs, AR 71913-6090
Mailing address
1067 Seminole Rd
Bismarck, AR 71929-6016
Phone (501) 229-4942
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250529003111 | AR | Part B Supplier - Clinic/Group Practice | 2365951654 |
Receives reassigned benefits from 1 practitioner Practice locations: Hot Springs, AR |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745452800000",
"number": "1609663293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1067 SEMINOLE RD",
"city": "BISMARCK",
"state": "AR",
"postal_code": "719296016",
"telephone_number": "501-229-4942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3620 CENTRAL AVE STE E",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719136090",
"telephone_number": "501-438-0111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPA CITY VASCULAR AND WELLNESS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-24",
"last_updated": "2025-04-24",
"certification_date": "2025-04-24",
"status": "A",
"authorized_official_last_name": "REYNA",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "APRN OWNER",
"authorized_official_telephone_number": "501-438-0111",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hot Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.