NPIMap

Organization Active NPI

Pinnacle Health Partners PLLC

Doing business as Diversity Family Health

  • Primary Care Clinic/Center
  • Little Rock, AR
National Provider Identifier
1891357455
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PINNACLE HEALTH PARTNERS PLLC
Doing business as
Diversity Family Health
Practice address
9421 W Markham St Ste B
Little Rock, AR 72205-2282
Phone
(501) 837-1178
NPI assigned
Jul 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Authorized official

Name
Kimberly Hill, APRNNPI 1710303631
Title
Aprn, Owner
Phone
(501) 837-1178

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

9421 W Markham St Ste B
Little Rock, AR 72205-2282

Mailing address

9421 W Markham St Ste B
Little Rock, AR 72205-2282
Phone (501) 837-1178

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidAR

Other names 1

  • Diversity Family Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200218001633 AR Part B Supplier - Clinic/Group Practice 2264869940 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
Practice locations: Little Rock, AR; Fayetteville, AR

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

3340 N College Ave
Fayetteville, AR 72703
Phone (479) 341-3500

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 6

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": "1562112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1891357455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9421 W MARKHAM ST STE B",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052282",
            "telephone_number": "501-837-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9421 W MARKHAM ST STE B",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052282",
            "telephone_number": "501-837-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE HEALTH PARTNERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-03",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "APRN, OWNER",
        "authorized_official_telephone_number": "501-837-1178",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diversity Family Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.