Active NPI
Med Minds RX
- Psychiatric/Mental Health Nurse Practitioner
- Bryant, AR
National Provider Identifier
1821869165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- MED MINDS RX
- Practice address
- 2607 Alford CV
Bryant, AR 72022-7527 - Phone
- (501) 513-7264
- NPI assigned
- Jan 15, 2024
- 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
- Chastity Stephens, APRN
- Title
- Owner
- Phone
- (501) 513-7264
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
2607 Alford CV
Bryant, AR 72022-7527
Mailing address
2607 Alford CV
Bryant, AR 72022-7527
Phone (501) 513-7264
Other names 1
- Med Minds Psychiatry
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705276800000",
"number": "1821869165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2607 ALFORD CV",
"city": "BRYANT",
"state": "AR",
"postal_code": "720227527",
"telephone_number": "501-513-7264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2607 ALFORD CV",
"city": "BRYANT",
"state": "AR",
"postal_code": "720227527",
"telephone_number": "501-513-7264"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED MINDS RX",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-15",
"last_updated": "2024-01-15",
"certification_date": "2024-01-15",
"status": "A",
"authorized_official_last_name": "STEPHENS",
"authorized_official_first_name": "CHASTITY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "501-513-7264",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Med Minds Psychiatry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bryant, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.