Individual provider Active NPI

Lindsey Blair Johnson, APRN

  • Family Nurse Practitioner
  • Jonesboro, AR
National Provider Identifier
1275014409
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A005816 Issued in AR
Practice address
1710 Mayfield Dr
Jonesboro, AR 72401-4563
Phone
(870) 275-4927
NPI assigned
Aug 26, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A005816 AR Primary

Addresses

Primary practice location

1710 Mayfield Dr
Jonesboro, AR 72401-4563

Mailing address

1710 Mayfield Dr
Jonesboro, AR 72401-4563
Phone (870) 275-4927

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20181016000895 AR Practitioner - Nurse Practitioner 6002168317 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1710 Mayfield Dr
Jonesboro, AR 72401-4563
Phone (501) 773-6993

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A005816ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Treatment Centers of America, PLLC CurrentSince Jan 9, 2025 Accepting new patients
St. Bernards Hospital Inc CurrentSince Oct 1, 2018 Accepting new patients
Arrhythmia Associates of Nea, LLC CurrentSince Jan 20, 2020 Accepting new patients
Pain Treatment Centers of America PLLC CurrentSince Jan 9, 2025 Accepting new patients
St Bernards Hospital Inc. CurrentSince Oct 1, 2018 Accepting new patients
Pain Treatment Centers of America, PLLC Past Accepting new patients

Locations

1215 Sidney St
Batesville, AR 72501
Phone (870) 262-1541

303 E Matthews Ave
Ste 202
Jonesboro, AR 72401
Phone (870) 207-7555

201 E Oak Ave
Jonesboro, AR 72401

1710 Mayfield Dr
Jonesboro, AR 72401
Phone (870) 275-4927

4020 Richards Rd
Ste A
North Little Rock, AR 72117
Phone (501) 900-8763

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1535241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1275014409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 MAYFIELD DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014563",
            "telephone_number": "870-275-4927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 MAYFIELD DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014563",
            "telephone_number": "870-275-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LINDSEY",
        "middle_name": "BLAIR",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-26",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.