Active NPI
Jones Rising Star
- Registered Nurse
- West Memphis, AR
National Provider Identifier
1073390084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 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
National Provider Directory
National Provider DirectoryNPI 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.