Active NPI
Simone Myles
- Health Educator
- Fayetteville, AR
National Provider Identifier
1730619628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 3715 N Business Dr Ste 202
Fayetteville, AR 72703-5288 - Phone
- (855) 719-7875
- Fax
- (479) 582-0778
- NPI assigned
- Jun 14, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
3715 N Business Dr Ste 202
Fayetteville, AR 72703-5288
Mailing address
3715 N Business Dr Ste 202
Fayetteville, AR 72703-5288
Phone (855) 719-7875
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trestletree, LLC | Health Educator | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1730619628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3715 N BUSINESS DR STE 202",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727035288",
"telephone_number": "855-719-7875",
"fax_number": "479-582-0778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3715 N BUSINESS DR STE 202",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727035288",
"telephone_number": "855-719-7875",
"fax_number": "479-582-0778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYLES",
"first_name": "SIMONE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.