Individual provider Active NPI

Sondra J Jutte

  • Case Manager/Care Coordinator
  • Jonesboro, AR
National Provider Identifier
1467277814
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
3305 E Highland Dr
Jonesboro, AR 72401-6402
Phone
(870) 520-5014
Fax
(870) 520-5015
NPI assigned
Nov 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

3305 E Highland Dr
Jonesboro, AR 72401-6402

Mailing address

PO Box 11064
Fayetteville, AR 72703-1001
Phone (870) 520-5014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Logan Centers, Inc. CurrentSince Oct 26, 2021 Accepting new patients

Locations

1800 Lindauer Rd
Forrest City, AR 72335
Phone (870) 208-9333

3305 E Highland Dr
Ste B
Jonesboro, AR 72401
Phone (870) 520-5015

2711 W Kingshighway
Ste 6
Paragould, AR 72450
Phone (870) 215-0673

204 N Rhodes St
West Memphis, AR 72301
Phone (870) 400-8080

1792 Falls Blvd N
Ste 5
Wynne, AR 72396
Phone (870) 208-9333

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": "1732060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1467277814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11064",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727031001",
            "telephone_number": "870-520-5014",
            "fax_number": "870-520-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 E HIGHLAND DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016402",
            "telephone_number": "870-520-5014",
            "fax_number": "870-520-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUTTE",
        "first_name": "SONDRA",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.