Organization Active NPI

Family Pavilion LLC

  • Family Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1891367090
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
FAMILY PAVILION LLC
Practice address
1 Saint Vincent Cir Ste 440
Little Rock, AR 72205-5492
Phone
(501) 680-8166
Fax
(501) 666-8538
NPI assigned
Jul 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
Mrs. Marilyn Johnson McFarland, FNP
Title
Advance Nurse Practitioner
Phone
(501) 680-8166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1 Saint Vincent Cir Ste 440
Little Rock, AR 72205-5492

Mailing address

1 Saint Vincent Cir Ste 440
Little Rock, AR 72205-5492
Phone (501) 680-8166

National Provider Directory

National Provider Directory

Locations

1 Saint Vincent Cir
Ste 440
Little Rock, AR 72205
Phone (501) 539-6644

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1891367090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SAINT VINCENT CIR STE 440",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055492",
            "telephone_number": "501-680-8166",
            "fax_number": "501-666-8538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SAINT VINCENT CIR STE 440",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055492",
            "telephone_number": "501-680-8166",
            "fax_number": "501-666-8538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PAVILION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-15",
        "last_updated": "2023-09-18",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "MCFARLAND",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "ADVANCE NURSE PRACTITIONER",
        "authorized_official_telephone_number": "501-680-8166",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "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 Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.