Prevention Plus, Inc.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PREVENTION PLUS, INC.

Practice address

1204 SE 28TH St
Suite 2
Bentonville, AR 72712-3881

Phone

(479) 268-3477

Fax

(479) 268-3478

NPI assigned

Jan 16, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Pam Seal

Title

Billing Managerf

Phone

(405) 762-6002

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1649518200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 SE 28TH ST",
            "address_2": "SUITE 2",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123881",
            "telephone_number": "479-268-3477",
            "fax_number": "479-268-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 SE 28TH ST",
            "address_2": "SUITE 2",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123881",
            "telephone_number": "479-268-3477",
            "fax_number": "479-268-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTION PLUS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-16",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "SEAL",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "BILLING MANAGERF",
        "authorized_official_telephone_number": "405-762-6002",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.