Jessica Nacole Withrow

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

7345 Highway 62 W
Gassville, AR 72635-8636

Phone

(870) 435-5511

Fax

(870) 435-5513

NPI assigned

Jun 17, 2009

Last updated

Feb 18, 2010By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Hometown Behavioral Health Services of Ar Inc.

  • Mental Health Counselor
  • Mountain Home, AR
  • NPI 1902372774
  NPD (past)

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266451200000",
    "number": "1720215791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 HOSPITAL DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532955",
            "telephone_number": "870-508-1081",
            "fax_number": "870-508-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 HIGHWAY 62 W",
            "city": "GASSVILLE",
            "state": "AR",
            "postal_code": "726358636",
            "telephone_number": "870-435-5511",
            "fax_number": "870-435-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHROW",
        "first_name": "JESSICA",
        "middle_name": "NACOLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2010-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ozark Mountain Alcohol Residential Treatment, Inc,.
• Ponders Gassville Pharmacy
• Terry Dow Rhea Sr., LMSW
• Mollie Brooke Rowlett
• Larry Dean Twaddle
• Jennifer Lynn Wojcik, LPN

• Case Manager/Care Coordinator in Gassville, AR
• Providers in Gassville, AR by specialty
• Case Manager/Care Coordinator in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.