Active NPI
Jo Lynn O'Guinn-Charles, NP
- Gerontology Nurse Practitioner
- El Dorado, AR
National Provider Identifier
1144577586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- A03631
- Practice address
- 2301 Champagnolle Road
Life Touch Hospice
El Dorado, AR 71730-3125 - Phone
- (870) 862-0331
- NPI assigned
- Aug 3, 2012
- Last updated
- Feb 9, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | A03631 | AR | Primary |
Addresses
Primary practice location
2301 Champagnolle Road
Life Touch Hospice
El Dorado, AR 71730-3125
Mailing address
2301 Champagnolle Rodd
Life Touch Hospice
El Dorado, AR 71730
Phone (870) 862-0331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icarepro of Texas, PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Nurse Specialist
- Texarkana, TX
- NPI 1396193066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486598400000",
"number": "1144577586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 CHAMPAGNOLLE RODD",
"address_2": "LIFE TOUCH HOSPICE",
"city": "EL DORADO",
"state": "AR",
"postal_code": "71730",
"telephone_number": "870-862-0331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 CHAMPAGNOLLE ROAD",
"address_2": "LIFE TOUCH HOSPICE",
"city": "EL DORADO",
"state": "AR",
"postal_code": "717303125",
"telephone_number": "870-862-0331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'GUINN-CHARLES",
"first_name": "JO",
"middle_name": "LYNN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-03",
"last_updated": "2017-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "AR",
"license": "A03631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Dorado, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.