Organization Active NPI

Cr8Tive Med Solutions

  • Primary Care Nurse Practitioner
  • Jonesboro, AR
National Provider Identifier
1053009001
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
CR8TIVE MED SOLUTIONS
Practice address
1904 Grant Ave Ste G
Jonesboro, AR 72401-6165
Phone
(870) 493-3007
Fax
(870) 330-9076
NPI assigned
Apr 27, 2023
Last updated
Apr 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Authorized official

Name
Miss Elham Armah, NPNPI 1851718381
Title
Owner
Phone
(901) 921-2686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

1904 Grant Ave Ste G
Jonesboro, AR 72401-6165

Mailing address

109 Grayson Dr
Jonesboro, AR 72404-9438
Phone (901) 921-2686

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1053009001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 GRAYSON DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724049438",
            "telephone_number": "901-921-2686",
            "fax_number": "870-252-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 GRANT AVE STE G",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016165",
            "telephone_number": "870-493-3007",
            "fax_number": "870-330-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CR8TIVE MED SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "ARMAH",
        "authorized_official_first_name": "ELHAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-921-2686",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.