Individual provider Active NPI

Whitney Reed, APRN

  • Family Nurse Practitioner
  • Jacksonville, AR
National Provider Identifier
1184091415
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004458 Issued in AR
Practice address
1110 W Main St
Jacksonville, AR 72076-4304
Phone
(501) 982-2108
Fax
(501) 982-4951
NPI assigned
Aug 21, 2015
Last updated
Apr 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A004458 AR Primary

Addresses

Primary practice location

1110 W Main St
Jacksonville, AR 72076-4304

Mailing address

PO Box 23410
Little Rock, AR 72221-3410
Phone (012) 241-6905

Other practice location 1

130 JF Blvd
Lonoke, AR 72086
Phone (501) 552-7979

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151123000106 AR Practitioner - Nurse Practitioner 4880994904 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harmony Health Clinic Wynne, PLLCGroup PAC ID 6305217688, 11 clinicians

Practice addresses (Care Compare)

130 J F Blvd
Lonoke, AR 72086-9365
Phone (501) 436-0222

1920 Falls Blvd N
Wynne, AR 72396-4027
Phone (870) 587-0800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A004458ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group CurrentSince Sep 9, 2015 Accepting new patients
Harmony Health Clinic Wynne, PLLC CurrentSince Feb 1, 2025 Accepting new patients
Harmony Health Clinic Wynne, PLLC CurrentSince Feb 1, 2025 Accepting new patients
St Vincent Physician Clinics LLC Family Past Accepting new patients

Locations

1110 W Main St
Jacksonville, AR 72076
Phone (501) 982-2108

16221 Saint Vincent Way
Little Rock, AR 72223
Phone (501) 221-0888

130 J F Blvd
Lonoke, AR 72086
Phone (501) 436-0222

1920 Falls Blvd N
Wynne, AR 72396
Phone (870) 587-0800

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1184091415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23410",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722213410",
            "telephone_number": "012-241-6905",
            "fax_number": "501-224-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W MAIN ST",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720764304",
            "telephone_number": "501-982-2108",
            "fax_number": "501-982-4951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 JF Blvd",
            "address_purpose": "LOCATION",
            "city": "Lonoke",
            "state": "AR",
            "postal_code": "72086",
            "country_code": "US",
            "telephone_number": "501-552-7979",
            "fax_number": "501-552-7978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "WHITNEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-21",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, AR

Sources for this page

Verify at the official NPI Registry.