Justin Taylor Dubois, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A005146 Issued in AR

Practice address

14524 Cantrell Rd Ste 160
Little Rock, AR 72223-4673

Phone

(501) 868-4400

NPI assigned

Jul 18, 2017

Sex

Male

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Medexpress Urgent Care Arkansas, P.a.

  • Urgent Care Clinic/Center
  • Fayetteville, AR
  • NPI 1578984357
  Medicare reassignment NPD
• Medexpress Urgent Care Arkansas, P.a.

  • Urgent Care Clinic/Center
  • Pine Bluff, AR
  • NPI 1154784882
  NPD
• Medexpress Urgent Care Arkansas, P.a.

  • Urgent Care Clinic/Center
  • Russellville, AR
  • NPI 1659769529
  NPD

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500336000000",
    "number": "1235652611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 STONEBRIDGE CIR APT 1614",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722234549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14524 CANTRELL RD STE 160",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722234673",
            "telephone_number": "501-868-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOIS",
        "first_name": "JUSTIN",
        "middle_name": "TAYLOR",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-18",
        "last_updated": "2017-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey M Druhot
• Dry Eye Center of Arkansas
• Duane Birky MD PA
• Thirumal Reddy Dubbaka, MD
• Dominique Steed Dubois, CNM
• Kimberly Dubose
• Dennis Dubovetsky
• Samara Lee Duckworth, M.S.
• Jordyn Courville Ducote, MD
• Fiona E Dudley, PTA

• 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 Jul 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.