Little Rock Community Mental Health Center

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L049916 Issued in AR

Legal business name

LITTLE ROCK COMMUNITY MENTAL HEALTH CENTER

Practice address

1100 N. University
Little Rock, AR 72205

Phone

(501) 686-9300

NPI assigned

Jun 27, 2018

Organization subpart

No

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

Authorized official

Name

Nicole M Lewis, LPN

Title

LPN

Phone

(501) 686-9300

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530835200000",
    "number": "1851886352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N UNIVERSITY AVE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722076343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N. UNIVERSITY",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205",
            "telephone_number": "501-686-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE ROCK COMMUNITY MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-07-06",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "501-686-9300",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "AR",
            "license": "L049916",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "AR",
            "license": "LO49916",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Little Rock Cancer Clinic, P.a.
• Little Rock Cardiology Clinic, PA
• Little Rock Cardiology Clinic, PLC
• Little Rock Children'S Clinic, P.a.
• Little Rock Chiropractic Clinic, P.a.
• Little Rock Community Mental Health Center Inc
• Little Rock Community Mental Health Center, Inc.
• Little Rock Counseling, PLC
• Little Rock Dentistry
• Little Rock Dermatology Clinic P.a.

• Licensed Practical Nurse in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Licensed Practical Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; 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.