Organization Active NPI

Beyond Wellness LLC

  • Family Medicine Physician
  • Lonsdale, AR
National Provider Identifier
1962101402
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BEYOND WELLNESS LLC
Practice address
25255 Highway 5 Ste J
Lonsdale, AR 72087-9102
Phone
(501) 476-7171
Fax
(501) 922-4164
NPI assigned
Feb 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Authorized official

Name
Ashley Huneycutt
Title
Owner
Phone
(501) 658-1051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

25255 Highway 5 Ste J
Lonsdale, AR 72087-9102

Mailing address

25255 Highway 5 Ste J
Lonsdale, AR 72087-9102
Phone (501) 476-7171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230808004290 AR Part B Supplier - Clinic/Group Practice 7517329584 Receives reassigned benefits from 2 practitioners
Practice locations: Lonsdale, AR; Rogers, AR; Little Rock, AR

National Provider Directory

National Provider Directory

Locations

23816 Chenal Pkwy
Little Rock, AR 72223
Phone (501) 476-7171

623 Beechwood St
Little Rock, AR 72205
Phone (501) 476-7171

25255 Highway 5
Ste J
Lonsdale, AR 72087
Phone (501) 476-7171

4100 W Oak St
Rogers, AR 72758

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1962101402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25255 HIGHWAY 5 STE J",
            "city": "LONSDALE",
            "state": "AR",
            "postal_code": "720879102",
            "telephone_number": "501-476-7171",
            "fax_number": "501-922-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25255 HIGHWAY 5 STE J",
            "city": "LONSDALE",
            "state": "AR",
            "postal_code": "720879102",
            "telephone_number": "501-476-7171",
            "fax_number": "501-922-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "HUNEYCUTT",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-658-1051"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lonsdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.