Individual provider Active NPI

Jamie Lee Aldakkour

  • Hematology & Oncology Physician
  • Mountain Home, AR
National Provider Identifier
1366070179
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
E-20759 Issued in AR
Practice address
639 Hospital Dr
Mountain Home, AR 72653-2914
Phone
(870) 580-5280
Fax
(870) 425-6811
NPI assigned
Mar 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X E-20759 AR Primary

Addresses

Primary practice location

639 Hospital Dr
Mountain Home, AR 72653-2914

Mailing address

3901 Parkway Cir Ste 100
Springdale, AR 72762-5328
Phone (479) 587-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200720001534 FL Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 5799109062

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
University of North Texas HSC, College of Osteopathic Med, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2020 59TH St W
Bradenton, FL 34209-4604

3901 Pkwy Cir
Springdale, AR 72762

Hospital & facility affiliations

  • Fmol Health St Francis Hospital, Monroe, LA, CCN 190125

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: jamielee.aldakkour@hca4.eclinicaldirectplus.com

Hospital & facility affiliations 1

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": "1585353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1366070179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 PARKWAY CIR STE 100",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727625328",
            "telephone_number": "479-587-1700",
            "fax_number": "479-587-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 HOSPITAL DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532914",
            "telephone_number": "870-580-5280",
            "fax_number": "870-425-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDAKKOUR",
        "first_name": "JAMIE LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-28",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AR",
            "license": "E-20759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.