Main Street Endocrinology, PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

MAIN STREET ENDOCRINOLOGY, PLLC

Doing business as

Main Street Medical Associates

Practice address

165 South Main Street
Cave Springs, AR 72718

Phone

(417) 825-7920

NPI assigned

Aug 4, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Melanie Kristin Sutton, APN

Title

Nurse Practitioner/Partner

Phone

(417) 825-7920

Specialties & licenses 1

Addresses

Other names 1

• Main Street Medical Associates Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596499200000",
    "number": "1962012070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10360 WINDY TRL",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127380",
            "telephone_number": "417-825-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 SOUTH MAIN STREET",
            "city": "CAVE SPRINGS",
            "state": "AR",
            "postal_code": "72718",
            "telephone_number": "417-825-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET ENDOCRINOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "KRISTIN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/PARTNER",
        "authorized_official_telephone_number": "417-825-7920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "msutton@main-street.medical.com",
            "affiliation": "N",
            "address_1": "10360 Windy Trl",
            "city": "Bentonville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727127380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Main Street Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle Khoury, DPT
• Sarah Elizabeth La Tour
• Mary Lee, MS, CCC-SLP
• Kelly Ann Long
• McKenzie Katherine Lynch
• Leah Ashley Maldonado
• Tammy Lynn Neil, PH.D.
• Ashley Elizabeth Nixon, MS, CCC-SLP
• Pelvic Roots Physical Therapy PLLC
• Adam L Pruitt

• Medical Specialty Clinic/Center in Cave Springs, AR
• Providers in Cave Springs, AR by specialty
• Medical Specialty Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.