Individual provider Active NPI

Jessie Little, MD

  • Pediatrics Physician
  • Harrison, AR
National Provider Identifier
1043899503
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
E-17273 Issued in AR
Practice address
1401 Hwy 65 North
Suite 110
Harrison, AR 72601
Phone
(870) 414-4022
Fax
(870) 414-2023
NPI assigned
Apr 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X E-17273 AR Primary

Addresses

Primary practice location

1401 Hwy 65 North
Suite 110
Harrison, AR 72601

Mailing address

620 N Main St
Harrison, AR 72601-2911
Phone (870) 414-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240807000355 AR Practitioner - Pediatric Medicine 4082014923 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Arkansas Regional Medical Center CurrentSince Aug 1, 2024 Accepting new patients
North Arkansas Regional Medical Center Current Accepting new patients
North Arkansas Regional Medical Center CurrentSince Aug 1, 2024 Accepting new patients
North Arkansas Regional Medical Center Current Accepting new patients
Michael S. Clarke, M.D., P.a. Current Accepting new patients
North Arkansas Regional Medical Center CurrentSince Oct 1, 2024 Accepting new patients
North Arkansas Regional Medical Center PastSince Jul 21, 2024 Accepting new patients
North Arkansas Regional Medical Center Past Accepting new patients

Locations

620 N Main St
Harrison, AR 72601
Phone (870) 365-2000

724 N Spring St
Ste A
Harrison, AR 72601
Phone (870) 365-0850

724 N Spring St
Harrison, AR 72601
Phone (870) 414-4000

620 N Main St
Ste 2B
Harrison, AR 72601
Phone (870) 414-4000

1401 Highway 62 65 N
Ste 110
Harrison, AR 72601
Phone (870) 414-4022

Organizations & group practices 8

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": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1043899503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N MAIN ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012911",
            "telephone_number": "870-414-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 HWY 65 NORTH",
            "address_2": "SUITE 110",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "72601",
            "telephone_number": "870-414-4022",
            "fax_number": "870-414-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "JESSIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E-17273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

Verify at the official NPI Registry.