Individual provider Active NPI

Sierra Rose Jesmain

  • Behavior Technician
  • Van Buren, AR
National Provider Identifier
1497620751
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
2805 Alma Hwy
Van Buren, AR 72956-5021
Phone
(479) 471-9600
NPI assigned
Oct 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X AR Primary

Addresses

Primary practice location

2805 Alma Hwy
Van Buren, AR 72956-5021

Mailing address

1000 SWN Dr Ste 101
Conway, AR 72032-2558
Phone (501) 328-3274

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
Pediatrics Plus Therapy Services, LLC CurrentSince Oct 12, 2025 Accepting new patients
Pediatrics Plus Therapy Services, LLC CurrentSince Oct 12, 2025 Accepting new patients

Locations

1000 Swn Dr
Ste 101
Conway, AR 72032

2805 Alma Hwy
Van Buren, AR 72956
Phone (479) 471-9600

Organizations & group practices 2

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": "1759795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1497620751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SWN DR STE 101",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720322558",
            "telephone_number": "501-328-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 ALMA HWY",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729565021",
            "telephone_number": "479-471-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESMAIN",
        "first_name": "SIERRA",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Buren, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.