Jaleesa Shears

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

212808 Issued in AR

Practice address

4001 Commercial Center Dr Ste 2
Marion, AR 72364-9616

Phone

(870) 732-7920

Fax

(870) 732-7923

NPI assigned

Aug 17, 2020

Last updated

Dec 29, 2020By 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

Medicare fee-for-service enrollment

Enrolled in AR, WA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Knew Mindset LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Marion, AR
  • NPI 1639822828
  Medicare reassignment NPD Authorized official
• Cascade Neuropsychology, PLLC

  dba Cascade Neuropsychology

  • Clinical Neuropsychologist
  • Bellingham, WA
  • NPI 1871099937
  Medicare reassignment NPD
• These Old Bonez Enterprises

  • Personal Care Attendant
  • Proctor, AR
  • NPI 1063919892
  NPD
• Valley Roots Family Care PLLC

  • Family Medicine Physician
  • Mount Vernon, WA
  • NPI 1144693250
  NPD (past)

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1508478066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 FOREST HOME RD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015320",
            "telephone_number": "866-972-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 COMMERCIAL CENTER DR STE 2",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723649616",
            "telephone_number": "870-732-7920",
            "fax_number": "870-732-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEARS",
        "first_name": "JALEESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-12-29",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "212808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Scales, R.N.
• Richard Lance Scarbrough
• Sarah Anderson Schafer, PTA
• Catrina Evette Selvy
• Seniors Need Care Too LLC
• Krissie L Shells, MHP
• Vickie Sheppard, SLP
• Angelyn D Sherrod, M.S. LPE
• Demond Lavar Shields, E.M.T.
• Halie Simmons

• Psychiatric/Mental Health Nurse Practitioner in Marion, AR
• Providers in Marion, AR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.