Active NPI
Elite Men'S Health of Conway
- Family Nurse Practitioner
- Conway, AR
National Provider Identifier
1811818958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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 DirectoryLocations
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
- Rashawn K Edwards, RECOVERY ASSISTANT
- Betsy Anna Efird, APN
- Eldercare of Arkansas III, Inc. (StoneBridge of Conway)
- Laney Rain Eldridge
- Anne Elgen, RECOVERY ASSISTANT
- Alecia Elkins, PT
- Holly Elledge, MS CCC-SLP
- Ellen Haverstick, PLLC (Advanced Physical Therapy Center)
- Tavis Labron Ellington
- Wendi Elliott
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.