Active NPI
Deena Davon Garner, DNP, APRN
- Psychiatric/Mental Health Nurse Practitioner
- North Little Rock, AR
National Provider Identifier
1013358522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- A003913
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A003913 | Other | AR | APN LICENSE |
| 3717 | Other | AR | PAC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| A003913 | AR | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Journey Wellness Clinic | Psychiatric/Mental Health | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- North Little Rock, AR
- NPI 1285292425
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.