Individual provider Active NPI

Jaime Couture, MSN, RN, FNP-C

  • Nurse Practitioner
  • Pine Bluff, AR
National Provider Identifier
1184107138
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A005785 Issued in AR
Practice address
2700 S Hazel St
Pine Bluff, AR 71603-5041
Phone
(870) 535-4800
NPI assigned
Sep 14, 2018
Last updated
Sep 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A005785 AR Primary

Addresses

Primary practice location

2700 S Hazel St
Pine Bluff, AR 71603-5041

Mailing address

2609 Sherwood FRST
Pine Bluff, AR 71603-6290
Phone (870) 643-7256

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
I20181113000173 AR Practitioner - Nurse Practitioner 8224382114 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1600 W 40TH Ave
Pine Bluff, AR 71603-6301
Phone (870) 541-7100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
A005785ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Arkansas Emergency Physicians LLP Nurse Practitioner Current Accepting new patients
Southeast Arkansas Emergency Physicians LLP CurrentSince Feb 15, 2022 Accepting new patients
Jefferson Hospital Association, Inc CurrentSince Jan 1, 2021 Accepting new patients
Jefferson Hospital Association, Inc CurrentSince Jan 1, 2021 Accepting new patients

Locations

206 S 1st St
#206
McGehee, AR 71654

1609 W 40th Ave
Ste 205
Pine Bluff, AR 71603
Phone (870) 534-1188

1600 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7100

7200 S Hazel St
Pine Bluff, AR 71603
Phone (870) 534-2900

4310 S Mulberry St
Pine Bluff, AR 71603
Phone (870) 534-1188

1609 W 40th Ave
Ste 403
Pine Bluff, AR 71603
Phone (870) 534-4188

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 1

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": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1184107138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 SHERWOOD FRST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036290",
            "telephone_number": "870-643-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 S HAZEL ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716035041",
            "telephone_number": "870-535-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUTURE",
        "first_name": "JAIME",
        "credential": "MSN, RN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A005785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

Verify at the official NPI Registry.