Individual provider Active NPI

Deena Davon Garner, DNP, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • North Little Rock, AR
National Provider Identifier
1013358522
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
A003913 Issued in AR
Practice address
5401 John F Kennedy Blvd Ste E-1
North Little Rock, AR 72116-6756
Phone
(501) 860-2927
NPI assigned
Jul 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X A003913 AR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X A003913 AR Primary

Addresses

Primary practice location

5401 John F Kennedy Blvd Ste E-1
North Little Rock, AR 72116-6756

Mailing address

2235 Deer TRL
Benton, AR 72019-9627
Phone (501) 860-2927

Other practice location 1

4301 W Markham St
Slot 529
Little Rock, AR 72205-7101
Phone (501) 603-1413

Other identifiers 2

IdentifierTypeStateIssuer
A003913OtherARAPN LICENSE
3717OtherARPAC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A003913ARMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Journey Wellness Clinic Psychiatric/Mental Health Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23326/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1013358522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 DEER TRL",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720199627",
            "telephone_number": "501-860-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 JOHN F KENNEDY BLVD STE E-1",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721166756",
            "telephone_number": "501-860-2927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 W Markham St",
            "address_2": "Slot 529",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-603-1413",
            "fax_number": "501-686-8695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARNER",
        "first_name": "DEENA",
        "middle_name": "DAVON",
        "credential": "DNP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-12",
        "last_updated": "2023-03-07",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AR",
            "license": "A003913",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "A003913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN LICENSE",
            "identifier": "A003913",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAC",
            "identifier": "3717",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.