Organization Active NPI

McReynolds Wellness Clinic PLLC

  • Clinic/Center
  • Rogers, AR
National Provider Identifier
1861862914
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
S02246 Issued in AR
Legal business name
MCREYNOLDS WELLNESS CLINIC PLLC
Practice address
5300 S Southern Hills CT Ste 100
Rogers, AR 72758-3500
Phone
(479) 636-1324
Fax
(479) 372-4433
NPI assigned
Oct 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Authorized official

Name
Sarah Jane McReynolds Brinkley, APRN, ACNS-BC
Title
Aprn/Owner
Phone
(479) 224-6368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X S02246 AR Primary

Addresses

Primary practice location

5300 S Southern Hills CT Ste 100
Rogers, AR 72758-3500

Mailing address

5300 S Southern Hills CT Ste 100
Rogers, AR 72758-3500
Phone (479) 636-1324

Other practice location 1

805 W Centerton Blvd
Centerton, AR 72719-9705
Phone (479) 224-6368

Other identifiers 2

IdentifierTypeStateIssuer
1366776429OtherNPI
S02246OtherARAPRN LICENSE

National Provider Directory

National Provider Directory

Locations

5300 S Southern Hills Ct
Rogers, AR 72758
Phone (479) 636-1324

5300 S Southern Hills Ct
#100
Rogers, AR 72758
Phone (479) 636-1324

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": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1861862914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 S SOUTHERN HILLS CT STE 100",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727583500",
            "telephone_number": "479-636-1324",
            "fax_number": "479-372-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 S SOUTHERN HILLS CT STE 100",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727583500",
            "telephone_number": "479-636-1324",
            "fax_number": "479-372-4433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 W Centerton Blvd",
            "address_purpose": "LOCATION",
            "city": "Centerton",
            "state": "AR",
            "postal_code": "727199705",
            "country_code": "US",
            "telephone_number": "479-224-6368",
            "fax_number": "479-224-6383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MCREYNOLDS WELLNESS CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "MCREYNOLDS BRINKLEY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "APRN/OWNER",
        "authorized_official_telephone_number": "479-224-6368",
        "authorized_official_credential": "APRN, ACNS-BC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AR",
            "license": "S02246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1366776429",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "S02246",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.