Active NPI
Arkansas Family Medicine PA
- Family Medicine Physician
- Little Rock, AR
National Provider Identifier
1902340052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ARKANSAS FAMILY MEDICINE PA
- Practice address
- 15400 Chenal Pkwy
Suite 130
Little Rock, AR 72211-2016 - Phone
- (501) 725-7919
- NPI assigned
- Dec 8, 2016
- Last updated
- Dec 8, 2016
- 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
- Allison Richardson
- Title
- Owner
- Phone
- (501) 725-7919
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
15400 Chenal Pkwy
Suite 130
Little Rock, AR 72211-2016
Mailing address
15400 Chenal Pkwy
Suite 130
Little Rock, AR 72211-2016
Phone (501) 725-7919
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 |
|---|---|---|---|
| 04D2129897 | Arkansas Family Medicine | Certificate of waiver | Apr 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
15400 Chenal Pkwy
Ste 130
Little Rock, AR 72211
Phone (501) 725-7919
Interoperability endpoints
- https://api.platform.athenahealth.com/17584/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 6
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
- Little Rock, AR
- NPI 1578956223
-
- Family Medicine Physician
- Little Rock, AR
- NPI 1457318065
-
- Family Nurse Practitioner
- Little Rock, AR
- NPI 1902475635
-
- Family Nurse Practitioner
- Malvern, AR
- NPI 1326425919
-
- Family Nurse Practitioner
- Jacksonville, AR
- NPI 1346684594
-
- Family Nurse Practitioner
- Maumelle, AR
- NPI 1316414642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1481155200000",
"number": "1902340052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15400 CHENAL PKWY",
"address_2": "SUITE 130",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722112016",
"telephone_number": "501-725-7919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15400 CHENAL PKWY",
"address_2": "SUITE 130",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722112016",
"telephone_number": "501-725-7919"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARKANSAS FAMILY MEDICINE PA",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-08",
"last_updated": "2016-12-08",
"status": "A",
"authorized_official_last_name": "RICHARDSON",
"authorized_official_first_name": "ALLISON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "501-725-7919"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
- Arkansas Eyewear, Inc.
- Arkansas Family Care Network (Barg-Gray Clinic)
- Arkansas Family Care Network (Little Rock Family Practice - Central)
- Arkansas Family Dental, PA
- Arkansas Family Doulas
- Arkansas Foot Clinic, PA
- Arkansas Genomics, LLC
- Arkansas GYN Oncology
- Arkansas Health and Nutrition
- Arkansas Health Group (Baptist Health TeleMedicine)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.