Diabetic Experts of Arkansas, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

P01429 Issued in AR

Legal business name

DIABETIC EXPERTS OF ARKANSAS, LLC

Practice address

905 20TH St
Suite B
Batesville, AR 72501-7008

Phone

(870) 569-4942

NPI assigned

Jun 25, 2012

Last updated

Nov 20, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Rachel Jeannette Johnson, RNPNPI 1043568058

Title

Nurse Pracitioner/Owner

Phone

(870) 799-4494

Specialties & licenses 1

Addresses

Locations

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.

• Rachel Jeannette Johnson

  • Family Nurse Practitioner
  • Batesville, AR
  • NPI 1043568058
  Authorized official Same address or phone

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1073877023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 349",
            "address_2": "SUITE B",
            "city": "ROSIE",
            "state": "AR",
            "postal_code": "725710349",
            "telephone_number": "870-569-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 20TH ST",
            "address_2": "SUITE B",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017008",
            "telephone_number": "870-569-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC EXPERTS OF ARKANSAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-25",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "JEANNETTE",
        "authorized_official_title_or_position": "NURSE PRACITIONER/OWNER",
        "authorized_official_telephone_number": "870-799-4494",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "P01429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Department of Health and Human Services (Division of Health)
• Kamarajapuram Raman Desikan, M.D.
• Lawrence Devereux, MD
• Lindsay H Devereux, MD
• Michelle Dew
• Becky Dickey, BSE
• Angela Diponio, LCSW
• Joyce Doby
• Doctors' Anatomic Pathology Services, PA
• Blaine C Dore', CRNA

• Family Nurse Practitioner in Batesville, AR
• Providers in Batesville, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.