Active NPI
Jessica K Sears, NP
- Adult Medicine Physician
- Fayetteville, AR
National Provider Identifier
1659848133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- AP139399
- Practice address
- 3959 N. Steele Blvd
Uptown Suite 122
Fayetteville, AR 72703 - Phone
- (479) 335-5777
- NPI assigned
- Nov 1, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | AP139399 | TX | Primary |
Addresses
Primary practice location
3959 N. Steele Blvd
Uptown Suite 122
Fayetteville, AR 72703
Mailing address
3959 N. Steele Blvd
Uptow
F, AR 72703
Phone (479) 335-5777
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
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649203200000",
"number": "1659848133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3959 N. STEELE BLVD",
"address_2": "UPTOW",
"city": "F",
"state": "AR",
"postal_code": "72703",
"telephone_number": "479-335-5777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3959 N. STEELE BLVD",
"address_2": "UPTOWN SUITE 122",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "72703",
"telephone_number": "479-335-5777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEARS",
"first_name": "JESSICA",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-01",
"last_updated": "2022-04-06",
"certification_date": "2022-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "TX",
"license": "AP139399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.