MYHEALTH VILLAGE, PLLC
NPI 1487472866
Nurse Practitioner - Family in Conway, AR

Active since October 02, 2024CLIA 04D2337967 · Waiver
930 WINGATE ST STE C2, CONWAY, AR 72034(501) 358-6522(469) 621-2209 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 26, 2025, Oct 2, 2024 (2 updates tracked since 2024).

About Myhealth Village, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYHEALTH VILLAGE, PLLC (NPI 1487472866) is a healthcare organization registered as a family in Conway, Arkansas and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through February 2, 2028 and lists Kimberly Sims, Np, as its authorized official.

NPPES Registry Identity

NPI1487472866
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMYHEALTH VILLAGE, PLLC
Location Address930 WINGATE ST STE C2Conway, AR 72034-4837
Mailing AddressPo Box 10147Conway, AR 72034-0001 · (501) 358-6522 · Fax (469) 621-2209
Fax(469) 621-2209
Organization SubpartNo
Authorized OfficialKimberly SimsNp · (870) 659-0006
Enumeration DateOctober 2, 2024
Last NPPES UpdateFebruary 26, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2025
NPI 1487472866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
930 WINGATE ST STE C2, Conway, AR 72034

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2337967

My Health Village, PLLC · Conway, AR
Active · expires Feb 2, 2028
CLIA Number04D2337967
Laboratory TypePhysician Office
Certificate Effective DateFebruary 3, 2026
Certificate Expiration DateFebruary 2, 2028
Laboratory DirectorKimberly D. Sims
Laboratory Phone(501) 358-6522
Laboratory LocationMy Health Village, PLLC930 Wingate St, Suite C2, Conway, AR 72034
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
930 WINGATE ST STE C2
CONWAY, AR 72034

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Myhealth Village, PLLC's NPI number?

The NPI number for Myhealth Village, PLLC is 1487472866. It was assigned to this organization in the NPPES registry on October 2, 2024.

Where is Myhealth Village, PLLC located?

Myhealth Village, PLLC is located at 930 Wingate St Ste C2, Conway, AR 72034. The listed phone number is (501) 358-6522.

What is Myhealth Village, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Myhealth Village, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2337967) is associated with this NPI, valid through February 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Myhealth Village, PLLC was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.