Erin Edgmon, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

212623 Issued in AR

Practice address

Boston Mountain Rural Health Center Inc.
609 W Clark St
Jasper, AR 72641-0130

Phone

(870) 446-2225

Fax

(870) 446-2227

NPI assigned

Sep 16, 2020

Last updated

Jul 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Washington Regional Medical System

  dba Washington Regional Family Clinic - Springdale

  • Family Medicine Physician
  • Springdale, AR
  • NPI 1326376419
  Medicare reassignment NPD
• Washington Regional Medical System

  dba West Washington County Clinic Washington Regional

  • Family Medicine Physician
  • Lincoln, AR
  • NPI 1265921951
  NPD
• Washington Regional Medical System

  dba Washington Regional Family Clinic - Farmington

  • Family Medicine Physician
  • Farmington, AR
  • NPI 1275839011
  NPD
• Washington Regional Medical System

  dba Harrison Family Practice Clinic - Washington Regional

  • Family Medicine Physician
  • Harrison, AR
  • NPI 1871866038
  NPD

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1346856366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1060",
            "city": "MARSHALL",
            "state": "AR",
            "postal_code": "726501060",
            "telephone_number": "870-448-5733",
            "fax_number": "870-448-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BOSTON MOUNTAIN RURAL HEALTH CENTER INC.",
            "address_2": "609 W CLARK ST",
            "city": "JASPER",
            "state": "AR",
            "postal_code": "726410130",
            "telephone_number": "870-446-2225",
            "fax_number": "870-446-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGMON",
        "first_name": "ERIN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "212623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254276758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• B & H Operations LLC (Countryside Health & Rehab of Newton County)
• Chrissie L Bell, APRN
• Boston Mountain Rural Health Center Inc.
• Coats Chiropractic Clinic PA
• Coats Chiropractic Clinic PA
• Nicole Fairchild, LPC
• Health Resources of Arkansas, Inc.
• Jasper Pharmacy Inc (Jasper Pharmacy)
• James B Justice, MD
• Helen R Kling, MA, ATR-BC

• Family Nurse Practitioner in Jasper, AR
• Providers in Jasper, 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 22, 2021; 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.