Individual provider Active NPI

Jamie Catherine West, APRN, FNP-C

  • Family Nurse Practitioner
  • Monticello, AR
National Provider Identifier
1710548391
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
120542 Issued in AR
Practice address
777 Jordan Dr
Monticello, AR 71655-5719
Phone
(870) 460-9777
Fax
(870) 460-4790
NPI assigned
Jun 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 120542 AR Primary

Addresses

Primary practice location

777 Jordan Dr
Monticello, AR 71655-5719

Mailing address

212 Highway 172
Monticello, AR 71655-9655
Phone (870) 500-2195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200309001045 AR Practitioner - Nurse Practitioner 9931537800 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality Healthcare Resources LLCGroup PAC ID 0345305876, 29 clinicians
Reinhart Family Healthcare PLLCGroup PAC ID 1759433766, 2 clinicians

Practice addresses (Care Compare)

2200 S Bowman Rd
Suite a
Little Rock, AR 72211-4136
Phone (501) 558-4111

777 Jordan Dr
Monticello, AR 71655-5719
Phone (870) 460-9777

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
120542ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reinhart Family Healthcare PLLC CurrentSince Feb 17, 2020 Accepting new patients
Quality Healthcare Resources LLC Family CurrentSince Jan 16, 2023 Accepting new patients

Locations

2200 S Bowman Rd
Ste A
Little Rock, AR 72211
Phone (501) 558-4100

1222 Old Warren Rd
Ste B
Monticello, AR 71655
Phone (870) 460-9777

777 Jordan Dr
Monticello, AR 71655
Phone (870) 460-9001

Organizations & group practices 2

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1710548391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 HIGHWAY 172",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716559655",
            "telephone_number": "870-500-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 JORDAN DR",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716555719",
            "telephone_number": "870-460-9777",
            "fax_number": "870-460-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "JAMIE",
        "middle_name": "CATHERINE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "120542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, AR

Sources for this page

Verify at the official NPI Registry.