Active NPI
Teague Family Med & Spa, LLC
- Family Nurse Practitioner
- Harrison, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- TEAGUE FAMILY MED & SPA, LLC
- Practice address
- 519 N Willow St
Harrison, AR 72601-3518 - Phone
- (866) 573-4747
- Fax
- (870) 604-1366
- NPI assigned
- Jul 2, 2025
- Last updated
- Aug 29, 2025
- 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
- Angela Teague, APRN
- Title
- Owner/Authorized Official
- Phone
- (479) 968-2109
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
519 N Willow St
Harrison, AR 72601-3518
Mailing address
519 N Willow St
Harrison, AR 72601-3518
Phone (866) 573-4747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D2327606 | Teague Family Med and Spa | Certificate of waiver | Jul 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
519 N Willow St
Harrison, AR 72601
Phone (866) 573-4747
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Harrison, AR
- NPI 1639726862
-
- Family Medicine Physician
- Salem, AR
- NPI 1073512828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756425600000",
"number": "1861381709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 N WILLOW ST",
"city": "HARRISON",
"state": "AR",
"postal_code": "726013518",
"telephone_number": "866-573-4747",
"fax_number": "870-604-1366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 N WILLOW ST",
"city": "HARRISON",
"state": "AR",
"postal_code": "726013518",
"telephone_number": "866-573-4747",
"fax_number": "870-604-1366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEAGUE FAMILY MED & SPA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-02",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A",
"authorized_official_last_name": "TEAGUE",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "479-968-2109",
"authorized_official_credential": "APRN"
},
"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 Harrison, AR
- Annakate Milburn Tatum, D.D.S.
- Amanda Taylor
- Charity Dawne Taylor, APRN, PMHNP-C
- Chris W Taylor, M.D.
- Phillip Taylor, MHPP
- Angela Nicole Teague, APRN
- Lauralyn Louise Terherst
- Texarkana Behavioral Associates, L.C. (Vantage Point of Northwest Arkansas)
- Texarkana Behavioral Associates, L.C. (Vantage Point of Northwest Arkansas)
- The Mental Fitness Center of the Ozarks,Inc (Harris and Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.