Living Tree Pediatrics, PLLC
NPI 1396102679ActiveOrganization· Pediatrics· Bentonville, AR
Pediatrics in Bentonville, Arkansas, registered in NPPES in January 2016. The authorized official on file is Julie Lynette Tate, M.D., Co-Owner.
Overview
| NPI | 1396102679 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 18, 2016 |
| Last updated in NPPES | Mar 21, 2022 |
| Certified by provider | Mar 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | E7529 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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