Active NPI
Be Healthy Medical Services, LLC
- Clinic/Center
- Fayetteville, AR
National Provider Identifier
1962969725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- BE HEALTHY MEDICAL SERVICES, LLC
- Practice address
- 1583 Main Dr
Fayetteville, AR 72704-5214 - Phone
- (479) 443-0800
- Fax
- (479) 443-5538
- NPI assigned
- Feb 27, 2019
- 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
- Andrew Miller, NP-C
- Title
- Owner
- Phone
- (479) 866-9411
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
1583 Main Dr
Fayetteville, AR 72704-5214
Mailing address
6 N Harvey Dowell Rd
Fayetteville, AR 72701-0721
Phone (479) 866-9411
National Provider Directory
National Provider DirectoryLocations
1583 Main Dr
Fayetteville, AR 72704
Phone (479) 443-0800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551225600000",
"number": "1962969725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 N HARVEY DOWELL RD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727010721",
"telephone_number": "479-866-9411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1583 MAIN DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727045214",
"telephone_number": "479-443-0800",
"fax_number": "479-443-5538"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BE HEALTHY MEDICAL SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-27",
"last_updated": "2019-02-27",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "479-866-9411",
"authorized_official_credential": "NP-C"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.