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TEAGUE FAMILY MED & SPA, LLC
NPI 1861381709
Nurse Practitioner - Family in Harrison, AR

Active since July 02, 2025CLIA 04D2327606 · Waiver
519 N WILLOW ST, HARRISON, AR 72601(866) 573-4747(870) 604-1366 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Teague Family Med & Spa, Llc NPPES

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

TEAGUE FAMILY MED & SPA, LLC (NPI 1861381709) is a healthcare organization registered as a family in Harrison, Arkansas and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through July 24, 2027 and lists Angela Teague, Owner/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1861381709
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTEAGUE FAMILY MED & SPA, LLC
Location Address519 N WILLOW STHarrison, AR 72601-3518
Mailing Address519 N Willow StHarrison, AR 72601-3518 · (866) 573-4747 · Fax (870) 604-1366
Phone(866) 573-4747
Fax(870) 604-1366
Organization SubpartNo
Authorized OfficialAngela TeagueOwner/authorized Official · (479) 968-2109
Enumeration DateJuly 2, 2025
Last NPPES UpdateAugust 29, 2025
NPPES CertifiedAugust 29, 2025
✔ NPI 1861381709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
519 N WILLOW ST, Harrison, AR 72601
Open in Google Maps ↗

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 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 04D2327606

Teague Family Med And Spa · Harrison, AR
Active · expires Jul 24, 2027
CLIA Number04D2327606
Laboratory TypePhysician Office
Certificate Effective DateJuly 25, 2025
Certificate Expiration DateJuly 24, 2027
Laboratory DirectorMs. Angela Teague
Laboratory Phone(866) 573-4747
Laboratory LocationTeague Family Med And Spa519 N Willow Street, Harrison, AR 72601
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 3

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

KENNETH N. HUBBARD JR. O.D.
Optometrist
519 N WILLOW ST
HARRISON, AR 72601
Boone County (870) 741-2787
SABRE AYERS WRIGHT, OD PLLC
Optometrist
519 N WILLOW ST
HARRISON, AR 72601
Boone County (870) 741-2787
HUBBARD EYE CLINIC
Optometrist
519 N WILLOW ST
HARRISON, AR 72601
Boone County (870) 741-2787

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 Teague Family Med & Spa, LLC's NPI number?

The NPI number for Teague Family Med & Spa, LLC is 1861381709. It was assigned to this organization in the NPPES registry on July 2, 2025.

Where is Teague Family Med & Spa, LLC located?

Teague Family Med & Spa, LLC is located at 519 N Willow St, Harrison, AR 72601. The listed phone number is (866) 573-4747.

What is Teague Family Med & Spa, LLC's specialty?

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

Does Teague Family Med & Spa, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2327606) is associated with this NPI, valid through July 24, 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 Teague Family Med & Spa, LLC was last updated on August 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.