Organization Active NPI

Elite Men'S Health of Conway

  • Family Nurse Practitioner
  • Conway, AR
National Provider Identifier
1811818958
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ELITE MEN'S HEALTH OF CONWAY
Practice address
625 Salem Rd Ste 1
Conway, AR 72034-4859
Phone
(501) 576-8378
NPI assigned
Jul 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Robert Taylor
Title
Owner
Phone
(870) 761-5532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

625 Salem Rd Ste 1
Conway, AR 72034-4859

Mailing address

625 Salem Rd Ste 1
Conway, AR 72034-4859
Phone (501) 576-8378

National Provider Directory

National Provider Directory

Locations

625 Salem Rd
Ste 1
Conway, AR 72034

NPI Registry JSON

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

{
    "created_epoch": "1784764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1811818958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 SALEM RD STE 1",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720344859",
            "telephone_number": "501-576-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 SALEM RD STE 1",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720344859",
            "telephone_number": "501-576-8378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEN'S HEALTH OF CONWAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-23",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-761-5532"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.