NPIMap

Organization Active NPI

Arkansas Respiratory and Equipment Providers

Doing business as Pediatric Nutritional Providers

  • Durable Medical Equipment & Medical Supplies
  • Hot Springs, AR
National Provider Identifier
1942369327
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
253101-62-001 Issued in AR
Legal business name
ARKANSAS RESPIRATORY AND EQUIPMENT PROVIDERS
Doing business as
Pediatric Nutritional Providers
Practice address
3632 Central Ave
Suite C
Hot Springs, AR 71913-6403
Phone
(501) 318-1110
Fax
(501) 318-1118
NPI assigned
Dec 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Rhonda Pennick, CRTLRCP
Title
Manager
Phone
(501) 318-1110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 253101-62-001 AR Primary

Addresses

Primary practice location

3632 Central Ave
Suite C
Hot Springs, AR 71913-6403

Mailing address

3632 Central Ave
Suite C
Hot Springs, AR 71913-6403
Phone (501) 318-1110

Other names 1

  • PEDIATRIC NUTRITIONAL PROVIDERS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Access Pharmacy5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3632 Central Ave
Ste C
Hot Springs, AR 71913
Phone (501) 318-1110

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942369327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3632 CENTRAL AVE",
            "address_2": "SUITE C",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136403",
            "telephone_number": "501-318-1110",
            "fax_number": "501-318-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3632 CENTRAL AVE",
            "address_2": "SUITE C",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136403",
            "telephone_number": "501-318-1110",
            "fax_number": "501-318-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS RESPIRATORY AND EQUIPMENT PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PENNICK",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "501-318-1110",
        "authorized_official_credential": "CRTLRCP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": "253101-62-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEDIATRIC NUTRITIONAL PROVIDERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.