Active NPI
Jennifer Powell
- Developmental Therapist
- Jonesboro, AR
National Provider Identifier
1548138878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- 9999046
- Practice address
- 1007 Windover Rd Ste a
Jonesboro, AR 72401-6009 - Phone
- (870) 520-0646
- Fax
- (870) 520-5034
- NPI assigned
- Oct 28, 2025
- Last updated
- Oct 28, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 9999046 | AR | Primary |
Addresses
Primary practice location
1007 Windover Rd Ste a
Jonesboro, AR 72401-6009
Mailing address
1007 Windover Rd Ste a
Jonesboro, AR 72401-6009
Phone (870) 520-0646
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9999046 | AR | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761609600000",
"number": "1548138878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1007 WINDOVER RD STE A",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724016009",
"telephone_number": "870-520-0646",
"fax_number": "870-520-5034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 WINDOVER RD STE A",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724016009",
"telephone_number": "870-520-0646",
"fax_number": "870-520-5034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-10-28",
"last_updated": "2025-10-28",
"certification_date": "2025-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "AR",
"license": "9999046",
"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 Oct 28, 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.