Joseph Kent Tetirick, APN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

A003816 Issued in AR

Practice address

5808 Callaway LN
Fort Smith, AR 72916-8437

Phone

(423) 426-3918

NPI assigned

Feb 8, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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 and National Provider Directory roles.

• Baptist Health Services

  • Foot & Ankle Surgery Podiatrist
  • Fort Smith, AR
  • NPI 1922587690
  Medicare reassignment NPD
• Prime Physicians LLC

  • General Practice Physician
  • Fort Smith, AR
  • NPI 1033454723
  Medicare reassignment NPD
• Baptist Health Services

  • Family Medicine Physician
  • Fort Smith, AR
  • NPI 1750856043
  NPD
• PMC Services LLC

  • Urgent Care Clinic/Center
  • Fort Smith, AR
  • NPI 1083502595
  NPD (past)

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360281600000",
    "number": "1386983468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 OAK GROVE RD",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729568410",
            "telephone_number": "501-772-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5808 CALLAWAY LN",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729168437",
            "telephone_number": "423-426-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TETIRICK",
        "first_name": "JOSEPH",
        "middle_name": "KENT",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-08",
        "last_updated": "2013-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AR",
            "license": "A003816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry Brackman DO Inc.
• Alexsia Terry
• Douglas Terry, DMD
• Carolanne Teter
• Jennifer Rebecca Tetirick
• Jiabey Thach, PT, DPT
• Lisa T Thai, PLMSW
• Marina Outhai Thammathong, QBHP
• The Center for Pediatrics and Adolescent Medicine
• The Cutting Edge Senior Care and Sitting Servic

• Acute Care Nurse Practitioner in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Acute Care Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; 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.