NPIMap

Individual provider Active NPI

Jaime Lyn Whitehead, APRN

  • Nurse Practitioner
  • Augusta, AR
National Provider Identifier
1053553024
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A03255 Issued in AR
Practice address
400 Highway 64 E
Augusta, AR 72006-5150
Phone
(870) 347-2508
Fax
(870) 347-5556
NPI assigned
Apr 6, 2009
Last updated
Feb 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A03255 AR Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090819000145 AR Practitioner - Nurse Practitioner 0042364572 Reassigns benefits to 1 organization
I20120220000695 KY Practitioner - Nurse Practitioner 0042364572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ArcareGroup PAC ID 2567370620, 249 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A03255ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arcare CurrentSince Jul 5, 2009 Accepting new patients
Arcare Current Accepting new patients
Arcare CurrentSince Jan 9, 2012 Accepting new patients
Arcare Past Accepting new patients

Locations

117 S 2nd St
Augusta, AR 72006

400 Highway 64 E
Augusta, AR 72006
Phone (870) 347-2508

623 N 9th St
#40
Augusta, AR 72006

800 Main St
Augusta, AR 72006
Phone (870) 347-3402

125 S 20th St
Paducah, KY 42001
Phone (270) 415-0467

Interoperability endpoints

  • Direct secure messaging: jaime.whitehead@arcare.directbygreenway.com

Organizations & group practices 4

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.

Hospital & facility affiliations 25

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1053553024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720060497",
            "telephone_number": "870-347-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HIGHWAY 64 E",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720065150",
            "telephone_number": "870-347-2508",
            "fax_number": "870-347-5556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Main St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "AR",
            "postal_code": "72006",
            "country_code": "US",
            "telephone_number": "870-347-3402",
            "fax_number": "870-347-1454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "JAIME",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A03255",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006998",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, AR

Sources for this page

Verify at the official NPI Registry.