WILD FIG, LLC
NPI 1770399305
Nurse Practitioner - Psychiatric/Mental Health in Fayetteville, AR

NPI Status: Active since December 09, 2024

Contact Information

215 N COLLEGE AVE
FAYETTEVILLE, AR
ZIP 72701
Phone: (479) 301-5290

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  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health

About WILD FIG, LLC

This page provides the complete NPI Profile along with additional information for Wild Fig, Llc, a provider established in Fayetteville, Arkansas operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1770399305 assigned on December 2024. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Connie Marie Thomas Dnp (Owner/nurse Practitioner)

NPI
1770399305
Provider Name
WILD FIG, LLC
Entity Type
Organization
Location Address
215 N COLLEGE AVE FAYETTEVILLE, AR 72701
Location Phone
(479) 301-5290
Mailing Address
PO BOX 205 BENTONVILLE, AR 72712
Mailing Phone
(618) 554-8730
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-09-2024
Last Update Date
12-09-2024
Code Navigator

A nurse practitioner (NP) like Wild Fig, Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261Q00000XAmbulatory Health Care Facilities

Clinic/Center

 
2261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 
3261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

 
4261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CONNIE MARIE THOMAS DNP

Authorized Official Title
OWNER/NURSE PRACTITIONER
Authorized Official Phone
(618) 554-8730

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1770399305, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
0
Unchanged
Pos 5
3
Doubled → 6
Pos 6
9
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
3
Unchanged
Pos 9
0
Doubled → 0
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 3 → 6 9 → 18 → 9 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 4 + 0 + 6 + 9 + 1 + 8 + 3 + 0 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1770399305.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Dietitian, Registered
215 N COLLEGE AVE
FAYETTEVILLE, AR 72701
Counselor (Mental Health)
215 N COLLEGE AVE
FAYETTEVILLE, AR 72701
Behavior Technician
215 N COLLEGE AVE
FAYETTEVILLE, AR 72701
Nurse Practitioner (Psychiatric/Mental Health)
215 N COLLEGE AVE
FAYETTEVILLE, AR 72701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770399305, enumerated as an "organization" on December 09, 2024.

The provider is located at 215 N COLLEGE AVE FAYETTEVILLE, AR 72701 and the phone number is (479) 301-5290.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.