Living Tree Pediatrics, PLLC
NPI 1396102679 · Pediatrics Physician · Bentonville, AR
Living Tree Pediatrics, PLLC is a Pediatrics Physician organization in Bentonville, AR (NPI 1396102679).
Provider details
- NPI number
- 1396102679
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Julie Tate, Co-Owner(479) 282-2966
- License
- E7529 (AR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-01-18
- Last updated
- 2022-03-21
- Certified
- 2022-03-21
Frequently asked questions
- What is Living Tree Pediatrics, PLLC's NPI number?
- Living Tree Pediatrics, PLLC's National Provider Identifier (NPI) is 1396102679, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Living Tree Pediatrics, PLLC?
- Living Tree Pediatrics, PLLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Living Tree Pediatrics, PLLC located?
- Living Tree Pediatrics, PLLC's practice location on file with NPPES is 1110 Se 30th Street, Bentonville, AR 72712-4290.
- What is Living Tree Pediatrics, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Living Tree Pediatrics, PLLC is (479) 282-2966.
- Who is the authorized official for Living Tree Pediatrics, PLLC?
- The authorized official listed on Living Tree Pediatrics, PLLC's NPPES record is Julie Tate, Co-Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Living Tree Pediatrics, PLLC's NPI active?
- Yes — Living Tree Pediatrics, PLLC's NPI (1396102679) is active in the NPPES registry as of the last update on 2022-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.