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HEALTH FOR LIFE CLINIC PLLC
NPI 1760736565
General Practice in Little Rock, AR

Active since October 31, 2012CLIA 04D1038130 · Waiver
1100 N UNIVERSITY AVE, STE 260, LITTLE ROCK, AR 72207(501) 603-0003(501) 603-0030 Get Directions Write a Review

NPPES record last updated: October 31, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Health For Life Clinic Pllc NPPES

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

HEALTH FOR LIFE CLINIC PLLC (NPI 1760736565) is a healthcare organization registered as a general practice in Little Rock, Arkansas and active in the NPI registry since October 2012. The organization holds a CLIA Waiver certificate valid through March 10, 2027 and lists Tia Proctor, Billing Administrator, as its authorized official.

NPPES Registry Identity

NPI1760736565
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameHEALTH FOR LIFE CLINIC PLLC
Location Address1100 N UNIVERSITY AVE, STE 260Little Rock, AR 72207-6343
Mailing Address1100 N University Ave, Ste 260Little Rock, AR 72207-6343 · (501) 603-0003 · Fax (501) 603-0030
Phone(501) 603-0003
Fax(501) 603-0030
Organization SubpartNo
Authorized OfficialTia ProctorBilling Administrator · (501) 603-0003
Enumeration DateOctober 31, 2012
✔ NPI 1760736565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in AR · C4604
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1100 N UNIVERSITY AVE, Little Rock, AR 72207
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Other Identifiers 3

Medicare PIN52647AR
Medicare UPINB90333AR
Medicaid104422001AR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 04D1038130

Little Rock Midtown Healthy Connections · Little Rock, AR
Active · expires Mar 10, 2027
CLIA Number04D1038130
Laboratory TypePhysician Office
Certificate Effective DateMarch 11, 2025
Certificate Expiration DateMarch 10, 2027
Laboratory DirectorShawna M. Dereemer
Laboratory Phone(501) 603-0003
Laboratory LocationLittle Rock Midtown Healthy Connections1100 North University, Suite 200, Little Rock, AR 72207
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

DR. MICHAEL C. FISCHER M.D.
Internal Medicine
1100 N UNIVERSITY AVE, SUITE 1
LITTLE ROCK, AR 72207
Pulaski County (501) 664-2500
MS. BEVERLY M WEBB LCSW, LADAC
Social Worker (Clinical)
1100 N UNIVERSITY AVE, SUITE 133
LITTLE ROCK, AR 72207
Pulaski County (501) 664-0091
MS. SANDY LEWIS ROBERTS LPC, LMFT, CADC
Counselor (Professional)
1100 N UNIVERSITY AVE, SUITE 133
LITTLE ROCK, AR 72207
Pulaski County (501) 664-0091
MS. ELIZABETH KAY CRONE LCSW
Social Worker (Clinical)
1100 N UNIVERSITY AVE, SUITE 133
LITTLE ROCK, AR 72207
Pulaski County (501) 664-0091
DR. RICARDO FEDERICO SOTOMORA M.D.
Pediatrics (Pediatric Cardiology)
1100 N UNIVERSITY AVE, SUITE #142
LITTLE ROCK, AR 72207
Pulaski County (501) 217-9890
SUSANNA E SHERMER M.D.
Family Medicine
1100 N UNIVERSITY AVE, SUITE 1
LITTLE ROCK, AR 72207
Pulaski County (501) 552-7900
MS. LINDA KATHERINE VANBLARICOM M.S.
Counselor (Mental Health)
1100 N UNIVERSITY AVE, SUITE 149
LITTLE ROCK, AR 72207
Pulaski County (501) 309-4858
MRS. BRITTANY D STEWART SMITH LCSW
Social Worker (Clinical)
1100 N UNIVERSITY AVE, SUITE 133
LITTLE ROCK, AR 72207
Pulaski County (501) 664-0091

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 Health For Life Clinic PLLC's NPI number?

The NPI number for Health For Life Clinic PLLC is 1760736565. It was assigned to this organization in the NPPES registry on October 31, 2012.

Where is Health For Life Clinic PLLC located?

Health For Life Clinic PLLC is located at 1100 N University Ave Ste 260, Little Rock, AR 72207. The listed phone number is (501) 603-0003.

What is Health For Life Clinic PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Health For Life Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D1038130) is associated with this NPI, valid through March 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Health For Life Clinic PLLC was last updated on October 31, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.