Jaime Lyn Whitehead, APRN
Individual provider Active NPI Nurse Practitioner · Augusta, AR
NPI 1053553024 · NPPES record last updated Feb 4, 2026
Key facts
- NPI
- 1053553024
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- A03255 (AR)
- Practice address
- 400 Highway 64 E
Augusta, AR 72006-5150 - Phone
- (870) 347-2508
- Fax
- (870) 347-5556
- NPI assigned
- Apr 6, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 25
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arcare
Practice addresses (Care Compare)
400 Hwy 64 E
Augusta, AR 72006-5150
Phone (870) 347-2508
615 N Main
Arcare 70
Brinkley, AR 72021-2507
Phone (870) 734-1153
623 N 9TH St
Augusta, AR 72006-2129
Phone (870) 347-2534
Hospital & facility affiliations
- Unity Health Homecare
- Stat Home Health - Cenark, LLC
- White County Medical Center
- Unity Health - Newport
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AR, KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090819000145 | AR | Practitioner - Nurse Practitioner | 0042364572 | Reassigns benefits to 1 organization |
| I20120220000695 | KY | Practitioner - Nurse Practitioner | 0042364572 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A03255 | AR | MD | Nurse Practitioner |
| 3006998 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arcare | Current | Accepting new patients | |
| Arcare | Current |
Accepting new patients | |
| Arcare | Current |
Accepting new patients | |
| Arcare | Past | Accepting new patients |
Locations
400 Highway 64 E
Augusta, AR 72006
Phone (870) 347-2508
117 S 2nd St
Augusta, AR 72006
800 Main St
Augusta, AR 72006
Phone (870) 347-3402
623 N 9th St
#40
Augusta, AR 72006
125 S 20th St
Paducah, KY 42001
Phone (270) 415-0467
Interoperability endpoints
- jaime.whitehead@arcare.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A03255 | AR | Yes |
| Family Nurse Practitioner | 363LF0000X | 3006998 | KY |
Addresses
Primary practice location
400 Highway 64 E
Augusta, AR 72006-5150
Mailing address
PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2534
Other practice location 1
800 Main St
Augusta, AR 72006
Phone (870) 347-3402
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100178850 | Medicaid | KY | |
| 179377758 | Medicaid | AR |
Other providers in Augusta, AR
- Therapy Network
- Wallace Jean Trice
- Trublu, LLC
- Leslie Tai Weatherford
- Nelda Jean West
- Gwendolyn Worsham
All providers in Augusta, AR · Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.