Organization Active NPI

Jennifer L. Price, DNP, Aprn, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cabot, AR
National Provider Identifier
1215419940
Registry record updated Mar 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
363LP0808X Issued in AR
Legal business name
JENNIFER L. PRICE, DNP, APRN, PLLC
Practice address
2796 S 2ND St Ste E
Cabot, AR 72023-7043
Phone
(501) 443-3818
Fax
(501) 521-1001
NPI assigned
Aug 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2024

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

Authorized official

Name
Dr. Jennifer L. Price, APRNNPI 1366990343
Title
Owner
Phone
(501) 286-3270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 2016013962 AR
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 363LP0808X AR Primary

Addresses

Primary practice location

2796 S 2ND St Ste E
Cabot, AR 72023-7043

Mailing address

PO Box 927
Cabot, AR 72023-0927
Phone (501) 286-3270

Other practice location 1

3348 Main St Ste 100
Bryant, AR 72022-5013
Phone (501) 443-3818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190409001690 AR Part B Supplier - Clinic/Group Practice 4688915200 Receives reassigned benefits from 1 practitioner
Practice locations: Cabot, AR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709337600000",
    "number": "1215419940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 927",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720230927",
            "telephone_number": "501-286-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2796 S 2ND ST STE E",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720237043",
            "telephone_number": "501-443-3818",
            "fax_number": "501-521-1001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3348 Main St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bryant",
            "state": "AR",
            "postal_code": "720225013",
            "country_code": "US",
            "telephone_number": "501-443-3818",
            "fax_number": "501-521-1001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JENNIFER L. PRICE, DNP, APRN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-29",
        "last_updated": "2024-03-02",
        "certification_date": "2024-03-02",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-286-3270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "2016013962",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "363LP0808X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabot, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.