Organization Active NPI

Janna L Jennings MD PLLC

  • Pediatrics Physician
  • Benton, AR
National Provider Identifier
1003288044
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MC-3133 Issued in AR
Legal business name
JANNA L JENNINGS MD PLLC
Practice address
610 Highway 5 N
Benton, AR 72019-8559
Phone
(501) 794-2269
Fax
(501) 794-2229
NPI assigned
Oct 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Janna L Jennings, M.D.
Title
Owner, Pediatrician
Phone
(501) 794-2269

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X MC-3133 AR Primary

Addresses

Primary practice location

610 Highway 5 N
Benton, AR 72019-8559

Mailing address

610 Highway 5 N
Benton, AR 72019-8559
Phone (501) 794-2269

Other identifiers 1

IdentifierTypeStateIssuer
MC-3133OtherARARKANSAS STATE MEDICAL BOARD

Other names 1

  • Health Within Reach Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1003288044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 HIGHWAY 5 N",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720198559",
            "telephone_number": "501-794-2269",
            "fax_number": "501-794-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 HIGHWAY 5 N",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720198559",
            "telephone_number": "501-794-2269",
            "fax_number": "501-794-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANNA L JENNINGS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-29",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "JANNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER, PEDIATRICIAN",
        "authorized_official_telephone_number": "501-794-2269",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "MC-3133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS STATE MEDICAL BOARD",
            "identifier": "MC-3133",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Within Reach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.