Active NPI
Sara Jones, PHD, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Little Rock, AR
National Provider Identifier
1043648843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- A003969
- Practice address
- 7107 W 12TH St
Little Rock, AR 72204-2404 - Phone
- (501) 663-1837
- Fax
- (501) 663-1839
- NPI assigned
- Oct 15, 2013
- Last updated
- Feb 4, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | A003969 | AR | Primary |
Addresses
Primary practice location
7107 W 12TH St
Little Rock, AR 72204-2404
Mailing address
4301 John F Kennedy Boulevard
Suite E-1
North Little Rock, AR 72116
Phone (501) 291-1126
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201625758 | Medicaid | AR |
Other names 1
- Sara Rowe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2021 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A003969 | AR | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Journey Wellness Clinic | Psychiatric/Mental Health | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- 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": "1381795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612396800000",
"number": "1043648843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 JOHN F KENNEDY BOULEVARD",
"address_2": "SUITE E-1",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "72116",
"telephone_number": "501-291-1126",
"fax_number": "888-818-9043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7107 W 12TH ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722042404",
"telephone_number": "501-663-1837",
"fax_number": "501-663-1839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "SARA",
"credential": "PHD, APRN, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-15",
"last_updated": "2021-02-04",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AR",
"license": "A003969",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201625758",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SARA",
"last_name": "ROWE",
"credential": "PHD, APRN, PMHNP-BC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.