HEALTH FOR LIFE CLINIC PLLC (NPI# 1760736565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760736565 |
| Entity Type | Organization |
| Organization Name | HEALTH FOR LIFE CLINIC PLLC |
| Practice Address |
1100 N University Ave Ste 260 Little Rock AR 72207-6343 |
| Practice Telephone | 5016030003 |
| Practice Fax Number | 5016030030 |
| Mailing Telephone | 5016030003 |
| Mailing Fax Number | 5016030030 |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2012-10-31 |
| Authorized Official Name | TIA PROCTOR (BILLING ADMINISTRATOR) |
| Authorized Official Telephone | 5016030003 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | C4604 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 104422001 | 05 |
| Street Address |
1100 N UNIVERSITY AVE STE 260 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72207-6343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427048677 | Sherri G. Parks | Clinical Nurse Specialist | 1100 N University Ave, Suite 200, Little Rock, AR 72207-6343 | 2005-10-27 |
| 1043841091 | Gary Appleby Blonsky | Social Worker | 1100 N University Ave, Little Rock, AR 72207-6343 | 2020-01-29 |
| 1780121269 | Lrcmhc | Community/Behavioral Health | 1100 N University Ave, Little Rock, AR 72207-6343 | 2017-01-23 |
| 1730634825 | Ashton Robbins | Case Manager/Care Coordinator | 1100 N University Ave, Evergreen Place Suite 200, Little Rock, AR 72207-6343 | 2016-08-18 |
| 1396195723 | Margaret Hicks | Social Worker | 1100 N University Ave, Suite 200, Little Rock, AR 72207-6343 | 2016-06-16 |
| 1295183432 | Kirby Danielle Caddy | Social Worker | 1100 N University Ave, Suite 200, Little Rock, AR 72207-6343 | 2016-05-27 |
| 1548629751 | Stefany Knight | Social Worker | 1100 N University Ave, Suite 200, Little Rock, AR 72207-6343 | 2016-02-16 |
| 1790143014 | Michael Mclaughlin | Registered Nurse | 1100 N University Ave, Suite 200, Little Rock, AR 72207-6343 | 2016-02-01 |
| 1104213842 | Toynicka Nicole Williams | Registered Nurse | 1100 N University Ave, 200, Little Rock, AR 72207-6343 | 2015-04-21 |
| 1104258714 | Karon Patrice Cunningham | Case Manager/Care Coordinator | 1100 N University Ave, 200, Little Rock, AR 72207-6343 | 2013-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245754555 | Yolanda Johnson | Case Manager/Care Coordinator | 1100 N University Suite 200, Little Rock, AR 72207 | 2017-07-28 |
| 1275065146 | Mccallum Medical Pa | Emergency Medicine | 1923 N Tyler St, Little Rock, AR 72207 | 2017-03-30 |
| 1700326790 | Denira Zardoost | Case Manager/Care Coordinator | 1100 N.uiversity, Evergreen Place Suite 200, Little Rock, AR 72207 | 2017-02-24 |
| 1952794828 | Robert Young Md | Clinic/Center | 4617 Crestwood Dr, Little Rock, AR 72207 | 2015-03-16 |
| 1366711004 | Amanda Diane Berg | Massage Therapist | 1405 N. Pierce St., Suite 210, Little Rock, AR 72207 | 2011-12-27 |
| 1801184080 | Larra Jean Bender | Massage Therapist | 1405 N. Pierce St. Suite 210, Little Rock, AR 72207 | 2011-07-21 |
| 1326371550 | Elizabeth G White | Social Worker | 1501 N University Ave Ste 416, Little Rock, AR 72207 | 2009-09-04 |
| 1437334364 | Lori Lamitina Nicholson | Chiropractor | 1405 North Pierce Street, Suite 210, Little Rock, AR 72207 | 2008-01-09 |
| 1568656858 | Megan Elizabeth Hughes | Social Worker | 5905 Forest Place, Little Rock, AR 72207 | 2007-08-30 |
| 1336361955 | Jennifer Baldwin | Occupational Therapist | 7204 M St, Little Rock, AR 72207 | 2007-05-03 |
| Find all providers in zip 72207 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382059 | Landmark Medical of Arkansas Pa | General Practice | 425 W Capitol Ave Ste 425, Little Rock, AR 72201-3424 | 2020-10-08 |
| 1942749148 | Reece Lewis Crow | General Practice | 34 Windsor Road, Little Rock, AR 72212 | 2017-02-21 |
| 1861817298 | Epoch Health- Little Rock, Pllc | General Practice | 801 S. Bowman Road, Suite 3, Little Rock, AR 72211 | 2014-02-21 |
| 1326341488 | University of Arkansas for Medical Sciences | General Practice | 4301 W Markham St # 528, Little Rock, AR 72205-7101 | 2010-12-13 |
| 1932419801 | David A. Morton IIi | General Practice | 12503 Pleasant View Dr, Little Rock, AR 72212-2222 | 2010-10-13 |
| 1457596959 | Leslie Ann Parks | General Practice | 14524 Cantrell Rd Suite 160, Little Rock, AR 72223 | 2008-12-11 |
| 1790891448 | Thomas T Jefferson | General Practice | 1100 N University Ave Ste 260, Little Rock, AR 72207-6367 | 2006-08-22 |
| 1528014016 | Carol Sue Caruthers | General Practice | 6924 Geyer Springs Rd, Little Rock, AR 72209 | 2006-05-26 |
| 1770551665 | Robert L. Barrow | General Practice | 600 Autumn Rd, Little Rock, AR 72211-3606 | 2006-03-08 |
| 1063038370 | University of Arkansas for Medical Sciences | General Practice | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-06-23 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72207 |
Please comment or provide details below to improve the information on HEALTH FOR LIFE CLINIC PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.