SJ Medical and Supply Company LLC

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

Legal business name

SJ MEDICAL AND SUPPLY COMPANY LLC

Doing business as

SJ Medical and Supply Co

Practice address

8817 Westwood Ave
Little Rock, AR 72204-8265

Phone

(501) 500-3775

NPI assigned

May 12, 2025

Organization subpart

No

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

Authorized official

Name

Jade Daniels

Title

Owner/President

Phone

(501) 500-3775

Specialties & licenses 5

Addresses

Other names 1

• SJ MEDICAL AND SUPPLY CO Doing business as

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1184414195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8817 WESTWOOD AVE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722048265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8817 WESTWOOD AVE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722048265",
            "telephone_number": "501-500-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJ MEDICAL AND SUPPLY COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "JADE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "501-500-3775"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SJ MEDICAL AND SUPPLY CO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karl Vance Sitz, M.D.
• Mackenzie Ryan Sitzman, DMD
• Barbara Elizabeth Sivertson, M.A.
• Bryant Sizemore
• Rachel Walters Sizemore, DDS
• Adam Linn Skarda
• Kimberly Skelley, MD
• Mildred Lynne Skidmore, PT, DPT
• Skin Surgery Specialists of Arkansas
• Emma Skinner

• Licensed Practical Nurse in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Licensed Practical Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.