Family Practice Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY PRACTICE CLINIC

Practice address

1500 McLain St
Newport, AR 72112-3638

Phone

(870) 523-9337

Fax

(870) 217-0312

NPI assigned

Feb 21, 2006

Last updated

Dec 15, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Carol Virginia Riley, MS

Title

Office Manager

Phone

(870) 523-9337

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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.

• Barbara Diane Menley, DNP, APRN

  • Family Nurse Practitioner
  • Newport, AR
  • NPI 1164497327
  NPD (past)

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1932174158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 786",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721120786",
            "telephone_number": "870-523-9337",
            "fax_number": "870-217-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MCLAIN ST",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721123638",
            "telephone_number": "870-523-9337",
            "fax_number": "870-217-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "VIRGINIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-523-9337",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "5C720",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148627002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin Marie English, PHARMD
• Virginia E Esposito
• Pamela Valarie Estok
• Falwell Medical Clinic Inc
• Vanessa Falwell, APRN
• Sheray N Featherston, LMSW
• Victor M Flores, LCSW
• Franteisha Fontenot, RECOVERY ASSISTANT
• Lasonya C Ford, LMSW
• Peggy Foster, LPC

• Family Medicine Physician in Newport, AR
• Providers in Newport, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.