Department of Veterans Affairs

Primary specialty

Military HospitalTaxonomy code 286500000X

License

1041C0700X Issued in AR

Legal business name

DEPARTMENT OF VETERANS AFFAIRS

Practice address

4300 W 7TH St
Little Rock, AR 72205-5446

Phone

(501) 257-1000

NPI assigned

Apr 24, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Wanda Yvette Glaspie-Johnson, LCSW

Title

Social Worker

Phone

(870) 692-7985

Specialties & licenses 1

Addresses

Other names 1

• Central Arkansas Veterans Healthcare System Other name

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1841465440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 FORT ROOTS DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721141709",
            "telephone_number": "501-257-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 W 7TH ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055446",
            "telephone_number": "501-257-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF VETERANS AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "GLASPIE-JOHNSON",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "870-692-7985",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "AR",
            "license": "1041C0700X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Arkansas Veterans Healthcare System",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Department of Health and Human Services
• Department of Health and Human Services
• Department of Health and Human Services
• Department of Health and Human Services
• Department of Health and Human Services Division of Health
• Tamera Depriest
• Derlis Martino MD PA
• Dermatology Care of Arkansas, PLLC
• Dermatology Group of Arkansas, P.a.
• Nathan Gilbert Derrickson, LCSW

• Military Hospital in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Military Hospital in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.