Jerry Chapman, REIKI MASTER III

Primary specialty

Religious Nonmedical PractitionerTaxonomy code 374K00000X

Practice address

203 Vista Ave
Hot Springs, AR 71901-7019

Phone

(501) 497-1903

NPI assigned

Oct 6, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sirius B Apothecary & Wellness

  • Specialist
  • Hot Springs, AR
  • NPI 1255930509

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1164029732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 VISTA AVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017019",
            "telephone_number": "501-497-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 VISTA AVE",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017019",
            "telephone_number": "501-497-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "JERRY",
        "credential": "REIKI MASTER III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": "AR",
            "license": "092134946",
            "primary": false
        },
        {
            "code": "374K00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Practitioner",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Arkansas Pain Center PA
• Central Arkansas Rehabilitation Associates, L.P.
• Cielo Cervantes
• Joseph Chambers
• Jill N Chaney, LPC
• Michelle Lynne Chapman, MSE, CDT
• Taylor Nicole Chapman, LPC
• Ronald Dean Chapmond, PD
• Charles J. Antonini, DDS, Ms
• Joe Chatman, MHPP

• All providers in Hot Springs, AR
• Religious Nonmedical Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.