Terri Jean McKown, FNP, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A01506 Issued in AR

Practice address

3812 W Main St
Russellville, AR 72801-2314

Phone

(479) 968-1245

NPI assigned

Jul 13, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Westside Family Clinic LLC

  • Family Nurse Practitioner
  • Russellville, AR
  • NPI 1801587779
  Medicare reassignment NPD

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1174835649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 DOUBLE SPRINGS RD",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728022334",
            "telephone_number": "479-968-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 W MAIN ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012314",
            "telephone_number": "479-968-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKOWN",
        "first_name": "TERRI",
        "middle_name": "JEAN",
        "credential": "FNP, APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-13",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A01506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crista McFarland, SHIFT SUPERVISOR
• Marcia McGlone, APRN
• Savannah McKnight
• Garrett McKown, LCSW
• Marilyn Jean McKown, MHPP
• Jennifer Leight McMahan, MS, CCC-SLP
• Carol McManis
• Eleasah McNabb
• Jessica Louise McNeese, APN
• Alicia McPhail

• Family Nurse Practitioner in Russellville, AR
• Providers in Russellville, 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 Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.