Individual provider Active NPI

Lisa Renee Hatfield-Baran, PHARM D

  • Pharmacist
  • Bentonville, AR
National Provider Identifier
1700209350
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PD11660 Issued in AR
Practice address
4005 SW Banbury Dr
Bentonville, AR 72712-7860
Phone
(479) 903-5815
NPI assigned
Jan 31, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PD11660 AR Primary

Addresses

Primary practice location

4005 SW Banbury Dr
Bentonville, AR 72712-7860

Mailing address

4005 SW Banbury Dr
Bentonville, AR 72712-7860
Phone (479) 903-5815

Other names 1

  • Lisa Renee Hatfield Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PD11660ARMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1700209350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 SW BANBURY DR",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127860",
            "telephone_number": "479-903-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 SW BANBURY DR",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127860",
            "telephone_number": "479-903-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATFIELD-BARAN",
        "first_name": "LISA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-31",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD11660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "HATFIELD",
            "middle_name": "RENEE",
            "credential": "PHARM D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; 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.