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Export Provider Record NPI 1437655065
Alysson Blythe Gaines
Active
NPI Number1437655065
NPI TypeNPI-1 Individual
SpecialtyNurse Practitioner, Family
Provider Details
NPI1437655065
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2018-04-03
Last Updated2020-09-15
Mailing Address1102 Nw Lowes Ave Ste 2
Bentonville, AR 72712-4978
United States
Phone: (479) 254-8563
📍 View Map
Primary Practice Address1102 Nw Lowes Ave Ste 2
Bentonville, AR 72712-4978
United States
Phone: (479) 254-8563
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes363LF0000X – Nurse Practitioner, FamilyARA005601
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About NPI 1437655065

Alysson Blythe Gaines is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1437655065. The primary specialty listed is Nurse Practitioner, Family. The provider is located in Bentonville, AR. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2018-04-03. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1437655065?

NPI 1437655065 belongs to Alysson Blythe Gaines, a Nurse Practitioner, Family in Bentonville, AR. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1437655065 active?

The current status of NPI 1437655065 in the NPPES registry is Active. The record was last updated on 2020-09-15.

What specialty is NPI 1437655065?

NPI 1437655065 is classified under the taxonomy Nurse Practitioner, Family. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1437655065?

You can verify NPI 1437655065 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1437655065?

The primary practice address on file for NPI 1437655065 is 1102 Nw Lowes Ave Ste 2, Bentonville, AR 72712-4978. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1437655065 issued?

NPI 1437655065 was first issued (enumerated) on 2018-04-03. The NPPES record was last updated on 2020-09-15.

Practice Location Map

Alysson Blythe Gaines is located at 1102 Nw Lowes Ave Ste 2, Bentonville, AR. Use the map below to find directions or verify the practice location.

📍 1102 Nw Lowes Ave Ste 2, Bentonville, AR 72712-4978  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Alysson Blythe Gaines. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1437655065. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Nurse Practitioner, FamilyA005601AR
Data Verified from CMS NPPES Last synced: 2026-09-01 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162