Active NPI
Yolanda Jefferson
- Personal Care Attendant
- Little Rock, AR
National Provider Identifier
1205669678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- AR6025
- Practice address
- 400 West Capitol Ave
Ste 1700, Office 1745
Little Rock, AR 72201 - Phone
- (772) 925-5492
- NPI assigned
- Aug 21, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Home Administrator | 376G00000X | AR | ||
| Personal Care Attendant | 3747P1801X | AR6025 | AR | Primary |
Addresses
Primary practice location
400 West Capitol Ave
Ste 1700, Office 1745
Little Rock, AR 72201
Mailing address
400 West Capitol Ave
Ste 1700, Office 1745
Little Rock, AR 72201
Phone (772) 925-5492
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AR6025 | AR | MD | Personal Care Attendant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frontline Healthcare Professionals, Arkansas | Personal Care Attendant | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Personal Care Attendant
- Little Rock, AR
- NPI 1316773559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726185600000",
"number": "1205669678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 WEST CAPITOL AVE",
"address_2": "STE 1700, OFFICE 1745",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "72201",
"telephone_number": "772-925-5492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 WEST CAPITOL AVE",
"address_2": "STE 1700, OFFICE 1745",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "72201",
"telephone_number": "772-925-5492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFERSON",
"first_name": "YOLANDA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-21",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "376G00000X",
"taxonomy_group": "",
"desc": "Nursing Home Administrator",
"state": "AR",
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "AR",
"license": "AR6025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.