Active NPI
Jill Suzanne Mathews, ANP
- Nurse Practitioner
- Hot Springs, AR
National Provider Identifier
1275691941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- A01425
- Practice address
- 1629 Airport Rd
Suite B
Hot Springs, AR 71913-7951 - Phone
- (501) 767-0075
- Fax
- (501) 760-2739
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A01425 | AR | Primary |
Addresses
Primary practice location
1629 Airport Rd
Suite B
Hot Springs, AR 71913-7951
Mailing address
1661 Airport Rd
Suite D
Hot Springs, AR 71913-7951
Phone (501) 625-7500
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1536 | AR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407283200000",
"number": "1275691941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1661 AIRPORT RD",
"address_2": "SUITE D",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719137951",
"telephone_number": "501-625-7500",
"fax_number": "501-625-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1629 AIRPORT RD",
"address_2": "SUITE B",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719137951",
"telephone_number": "501-767-0075",
"fax_number": "501-760-2739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEWS",
"first_name": "JILL",
"middle_name": "SUZANNE",
"name_prefix": "Mrs.",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2014-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AR",
"license": "A01425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hot Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.