Janna Lyn Jennings, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

E5062 Issued in AR

Practice address

5 Medical Park Dr
Suite 102a
Benton, AR 72015-3729

Phone

(501) 315-1222

Fax

(501) 315-1222

NPI assigned

Oct 18, 2006

Last updated

Dec 15, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Saline Med-Peds Group, Inc

  • Pediatrics Physician
  • Benton, AR
  • NPI 1396820437
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292371200000",
    "number": "1497836209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MEDICAL PARK DR",
            "address_2": "SUITE 102A",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153729",
            "telephone_number": "501-315-1222",
            "fax_number": "501-315-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MEDICAL PARK DR",
            "address_2": "SUITE 102A",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153729",
            "telephone_number": "501-315-1222",
            "fax_number": "501-315-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "JANNA",
        "middle_name": "LYN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2010-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E5062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162043001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "T2006-171",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Jarrett
• Cindy J Jeffcoat, C.C.C-SLP
• Ashley E Jendrejas
• Latasha Jenkins, RN
• Morgan Lee Jenkins I
• Sarah Ann Jennings, LPN
• Jerry W. Dixon, M.D., P.a.
• Lucille Jerry, RECOVERY ASSISTANT
• Autumn N Jessen, COTA
• JLM Ventures, Inc. (Grow Learning Centre-Benton)

• Pediatrics Physician in Benton, AR
• Providers in Benton, AR by specialty
• Pediatrics Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.