Individual provider Active NPI

Jeannie E Arnold, A.R.N.P.

  • Nurse Practitioner
  • Eufaula, OK
National Provider Identifier
1023031937
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R0050106 Issued in OK
Practice address
800 W Forrest Ave
Eufaula, OK 74432-3249
Phone
(918) 689-2547
Fax
(918) 689-3643
NPI assigned
Jul 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R0050106 OK Primary

Addresses

Primary practice location

800 W Forrest Ave
Eufaula, OK 74432-3249

Mailing address

1801 E 4TH St
Muscogee (Creek) Nation Dha-Business Office
Okmulgee, OK 74447-3942
Phone (918) 756-4333

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R0050106OKMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023031937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 E 4TH ST",
            "address_2": "MUSCOGEE (CREEK) NATION DHA-BUSINESS OFFICE",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744473942",
            "telephone_number": "918-756-4333",
            "fax_number": "918-759-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W FORREST AVE",
            "city": "EUFAULA",
            "state": "OK",
            "postal_code": "744323249",
            "telephone_number": "918-689-2547",
            "fax_number": "918-689-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "JEANNIE",
        "middle_name": "E",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "R0050106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eufaula, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.