Active NPI
Jody Clemons Arnold, FNP
- Family Nurse Practitioner
- Greenville, SC
National Provider Identifier
1568972842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 21185
- Practice address
- 2210 Laurens Rd
Greenville, SC 29607-3224 - Phone
- (866) 389-2727
- NPI assigned
- Oct 2, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F07171075 | SC | |
| Family Nurse Practitioner | 363LF0000X | 21185 | SC | Primary |
Addresses
Primary practice location
2210 Laurens Rd
Greenville, SC 29607-3224
Mailing address
3223A N Pleasantburg Dr
Greenville, SC 29609-2900
Other practice location 1
328 Front St S
LA Crosse, WI 54601-4023
Phone (888) 852-1988
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568972842 | Other | SC | FNP |
| 26-4628819 | Medicaid | GA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21185 | SC | MD | Family Nurse Practitioner |
| F07171075 | SC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572912000000",
"number": "1568972842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3223A N PLEASANTBURG DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296092900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 LAURENS RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296073224",
"telephone_number": "866-389-2727"
}
],
"practiceLocations": [
{
"address_1": "328 Front St S",
"address_purpose": "LOCATION",
"city": "LA Crosse",
"state": "WI",
"postal_code": "546014023",
"country_code": "US",
"telephone_number": "888-852-1988",
"fax_number": "608-793-2955",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARNOLD",
"first_name": "JODY",
"middle_name": "CLEMONS",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-02",
"last_updated": "2019-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "F07171075",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "21185",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FNP",
"identifier": "1568972842",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "26-4628819",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.