Jodi Amanda Parris Haltom, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A005525 Issued in AR

Practice address

500 S University Ave Ste 317
Little Rock, AR 72205-5342

Phone

(501) 664-4117

NPI assigned

Jul 31, 2018

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Arkansas Pediatric Clinic, PLLC

  • Pediatrics Physician
  • Little Rock, AR
  • NPI 1366471195
  NPD (past)
• Arkansas Pediatric Clinic, PLLC

  • Pediatrics Physician
  • Bryant, AR
  • NPI 1417316894
  NPD (past)

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1205314432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE STE 317",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055342",
            "telephone_number": "501-664-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE STE 317",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055342",
            "telephone_number": "501-664-4117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 S University Ave Ste 317",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722055342",
            "country_code": "US",
            "telephone_number": "501-664-4117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALTOM",
        "first_name": "JODI",
        "middle_name": "AMANDA PARRIS",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Madison Hall, APRN
• Tosha Hall
• Ashley Hallbauer, PA-C
• Ashley Wilcox Halpain, M.D.
• Decota Matthew Halsted, MD
• Geoffrey Thomas Halversen
• Melissa Halverson, PHARMD
• Yavonne Hamber, QBHP
• Gracen Lynn Hambrick
• Muhammad Yahya Hameed, MD

• Family Nurse Practitioner in Little Rock, AR
• Providers in Little Rock, 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 Jan 7, 2019; 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.