Individual provider Active NPI

Tina Kay Merritt Meinholz, MD

  • Allergy Physician
  • Bentonville, AR
National Provider Identifier
1891739660
Registry record updated Jun 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
E2999 Issued in AR
Practice address
1900 S Walton Blvd
Bentonville, AR 72712-6755
Phone
(479) 254-9777
Fax
(479) 254-9729
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X E2999 AR
Allergy Physician 207KA0200X E2999 AR Primary

Addresses

Primary practice location

1900 S Walton Blvd
Bentonville, AR 72712-6755

Mailing address

1900 S Walton Blvd
Bentonville, AR 72712-6755
Phone (479) 254-9777

Other identifiers 1

IdentifierTypeStateIssuer
149043001MedicaidAR

Other names 1

  • Tina Kay Hatley Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110610000279 AR Practitioner - Allergy/Immunology 8921069956 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Arkansas College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1900 S Walton Blvd
Bentonville, AR 72712-6755
Phone (479) 254-9777

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E2999ARMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
White Cell, Inc. Current Accepting new patients
Tristate Infusion Clinic, LLC CurrentSince Dec 13, 2023 Accepting new patients
Allergy & Asthma Clinic of Northwest Arkansas Specialist CurrentSince Sep 1, 2004 Accepting new patients
Tristate Infusion Clinics, LLC CurrentSince Dec 13, 2023 Accepting new patients
Northwest Arkansas Allergy and Asthma Clinic Specialist Past Accepting new patients
Blue Ridge Allergy & Asthma, Inc Allergy PastSince Nov 1, 2001 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

2703 SE G St
Ste 7
Bentonville, AR 72712
Phone (479) 254-9777

1900 S Walton Blvd
Ste 3
Bentonville, AR 72712
Phone (479) 250-9555

2701 SE J St
Ste 3
Bentonville, AR 72712
Phone (479) 254-9777

1900 S Walton Blvd
Bentonville, AR 72712
Phone (479) 254-9777

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCHFBA

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749254400000",
    "number": "1891739660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S WALTON BLVD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727126755",
            "telephone_number": "479-254-9777",
            "fax_number": "479-254-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S WALTON BLVD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727126755",
            "telephone_number": "479-254-9777",
            "fax_number": "479-254-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRITT MEINHOLZ",
        "first_name": "TINA",
        "middle_name": "KAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2025-06-07",
        "certification_date": "2025-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "E2999",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "AR",
            "license": "E2999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149043001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "HATLEY",
            "middle_name": "KAY",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bentonville, AR

Sources for this page

Verify at the official NPI Registry.