NPIMap

Organization Active NPI

Palliative Health Solutions LLC

  • Hospice and Palliative Medicine (Anesthesiology) Physician
  • Fort Smith, AR
National Provider Identifier
1427631589
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Anesthesiology) PhysicianTaxonomy code 207LH0002X
Legal business name
PALLIATIVE HEALTH SOLUTIONS LLC
Practice address
1501 S Waldron Rd Ste 208
Fort Smith, AR 72903-2565
Phone
(914) 325-2103
NPI assigned
May 5, 2021
Last updated
Oct 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Authorized official

Name
Jessiela Roberts, MDNPI 1104168459
Title
Medical Director
Phone
(479) 401-2123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Anesthesiology) Physician 207LH0002X NU Primary

Addresses

Primary practice location

1501 S Waldron Rd Ste 208
Fort Smith, AR 72903-2565

Mailing address

PO Box 12883
Oklahoma City, OK 73157-2883

Other names 1

  • Palliative Health Solutions LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1427631589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12883",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731572883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S WALDRON RD STE 208",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032565",
            "telephone_number": "914-325-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALLIATIVE HEALTH SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "JESSIELA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "479-401-2123",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LH0002X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palliative Health Solutions LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Palliative Health Solutions LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.