Northwest Arkansas Senior Care Specialists, PLLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

A004438 Issued in AR

Legal business name

NORTHWEST ARKANSAS SENIOR CARE SPECIALISTS, PLLC

Practice address

2629 N Sierra Ave
Fayetteville, AR 72703-3370

Phone

(479) 445-3469

Fax

(877) 693-6271

NPI assigned

Feb 21, 2018

Organization subpart

No

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

Authorized official

Name

Jennifer Oxford, APRNNPI 1114300100

Title

Owner

Phone

(479) 445-3469

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Practitioners 2

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

• Jennifer Oxford, APRN

  • Primary Care Nurse Practitioner
  • Fayetteville, AR
  • NPI 1114300100
  Medicare reassignment NPD Authorized official
• Charlene Mae Jaques, APN

  • Nurse Practitioner
  • Farmington, AR
  • NPI 1376373761

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1326549783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 N SIERRA AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033370",
            "telephone_number": "479-445-3469",
            "fax_number": "877-693-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 N SIERRA AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033370",
            "telephone_number": "479-445-3469",
            "fax_number": "877-693-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ARKANSAS SENIOR CARE SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "OXFORD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-445-3469",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C5210",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AR",
            "license": "A004438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Northwest Arkansas Urology Associates, PLLC
• Northwest Counseling & Social Work Services, Inc
• Northwest Dental Associates

• Primary Care Nurse Practitioner in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Primary Care Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.