Organization Active NPI

Jones Rising Star

  • Registered Nurse
  • West Memphis, AR
National Provider Identifier
1073390084
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
JONES RISING STAR
Practice address
800 Clement Rd
West Memphis, AR 72301-2885
Phone
(870) 635-7967
NPI assigned
Sep 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Authorized official

Name
Beverly Jones, MBA, MSN, RN
Title
Ceo
Phone
(870) 635-7967

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X Primary
Case Management Agency 251B00000X
Nursing Care Agency 251J00000X

Addresses

Primary practice location

800 Clement Rd
West Memphis, AR 72301-2885

Mailing address

800 Clement Rd
West Memphis, AR 72301-2885
Phone (870) 635-7967

Other names 1

  • Midsouth Professional Medical Providers Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1073390084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CLEMENT RD",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723012885",
            "telephone_number": "870-635-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CLEMENT RD",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723012885",
            "telephone_number": "870-635-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONES RISING STAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-635-7967",
        "authorized_official_credential": "MBA, MSN, RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midsouth Professional Medical Providers",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Memphis, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.