Individual provider Active NPI

Jenney Rebecca Garrett, APRN

  • Nurse Practitioner
  • Conway, AR
National Provider Identifier
1336808674
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
218270 Issued in AR
Practice address
2445 Christina LN
Conway, AR 72034-6798
Phone
(501) 764-1315
Fax
(501) 328-2110
NPI assigned
Dec 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 218270 AR Primary

Addresses

Primary practice location

2445 Christina LN
Conway, AR 72034-6798

Mailing address

2445 Christina LN
Conway, AR 72034-6798
Phone (501) 764-1315

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
I20220201002511 AR Practitioner - Nurse Practitioner 7810380532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates PAGroup PAC ID 1557342334, 12 clinicians

Practice addresses (Care Compare)

3401 Springhill Dr
Suite 325
North Little Rock, AR 72117-2945
Phone (501) 955-0320

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates PA CurrentSince Dec 1, 2021 Accepting new patients

Locations

2425 Dave Ward Dr
Ste 601
Conway, AR 72034
Phone (501) 328-0055

2445 Christina Ln
Conway, AR 72034
Phone (501) 327-1001

8907 Kanis Rd
Ste 330
Little Rock, AR 72205
Phone (501) 224-8810

3401 Springhill Dr
Ste 325
North Little Rock, AR 72117
Phone (501) 955-0320

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1336808674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 CHRISTINA LN",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346798",
            "telephone_number": "501-764-1315",
            "fax_number": "501-328-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 CHRISTINA LN",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346798",
            "telephone_number": "501-764-1315",
            "fax_number": "501-328-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "JENNEY",
        "middle_name": "REBECCA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "218270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.