Organization Active NPI

Longevity Associates, PLLC

  • Family Medicine Physician
  • Little Rock, AR
National Provider Identifier
1831626753
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LONGEVITY ASSOCIATES, PLLC
Practice address
2300 Andover CT Ste 400
Little Rock, AR 72227-3990
Phone
(337) 991-9276
NPI assigned
May 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Authorized official

Name
Oumitana Kajkenova, MDNPI 1053401521
Title
Member
Phone
(337) 991-9276

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2300 Andover CT Ste 400
Little Rock, AR 72227-3990

Mailing address

5750 Johnston St Ste 205
Lafayette, LA 70503-5334
Phone (337) 991-9276

National Provider Directory

National Provider Directory

Locations

1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1831626753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 JOHNSTON ST STE 205",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035334",
            "telephone_number": "337-991-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 ANDOVER CT STE 400",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722273990",
            "telephone_number": "337-991-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGEVITY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-23",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "KAJKENOVA",
        "authorized_official_first_name": "OUMITANA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "337-991-9276",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.