Jarrad Johnson

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Practice address

3017 Glen Flora Way
Fort Smith, AR 72908-9307

Phone

(479) 926-5557

NPI assigned

Feb 10, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Upchurch Holdings

  dba Life Therapeutic

  • Durable Medical Equipment & Medical Supplies
  • Fort Smith, AR
  • NPI 1407202724
  NPD

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1477185130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 GLEN FLORA WAY",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729089307",
            "telephone_number": "479-926-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 GLEN FLORA WAY",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729089307",
            "telephone_number": "479-926-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JARRAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jarraddjohnson",
            "affiliation": "N",
            "address_1": "3017 Glen Flora Way",
            "city": "Fort Smith",
            "state": "AR",
            "country_code": "US",
            "postal_code": "729089307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gayla Denise Johnson, FNP
• George Jerome Johnson Jr., DDS
• Gina Christine Johnson, M.ED., CCC-SLP
• Heather Leann Johnson, APRN-CNP
• James Daniel Johnson, M.S. CF-SLP
• Jason Johnson, AUD
• Jennifer White Johnson, MD
• Jill Johnson, M.S., SLP
• Joanne Johnson, APRN
• Jory Johnson, DO

• Durable Medical Equipment & Medical Supplies in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.