Active NPI
Jeffery Nash, APRN
- Gerontology Nurse Practitioner
- Texarkana, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- AP140372
- Practice address
- #4 Valley View Circle
Texarkana, TX 75503 - Phone
- (903) 293-7806
- NPI assigned
- Feb 19, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | AP140372 | TX | Primary |
Addresses
Primary practice location
#4 Valley View Circle
Texarkana, TX 75503
Mailing address
#4 Valley View Circle
Texarkana, TX 75503
Phone (903) 293-7806
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2223 Grant St
Malvern, AR 72104-4700
Phone (501) 337-9031
5803 Stoneridge Dr
Texarkana, TX 75503-1461
Phone (903) 278-5747
Hospital & facility affiliations
- Mays Home Health of Paris TX LLC
- Heritage Home Health
- Kelton Home Health Care
- Encompass Health Home Health
- Christus St Michael Health System
- Southwest Regional Medical Center LLC
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP140372 | TX | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icarepro of Texas, PA | Current | Accepting new patients | |
| Icare Pro of Texas Aco Billing Professional Association | Current | Accepting new patients |
Locations
4114 McKnight Rd
Ste C
Texarkana, TX 75503
Phone (501) 492-0099
4140 McKnight Rd
Ste D
Texarkana, TX 75503
Interoperability endpoints
- jeffery.nash.1@26850.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Community Health Nurse Practitioner
- Texarkana, TX
- NPI 1316511884
-
- Nurse Practitioner
- Texarkana, TX
- NPI 1568146561
-
- Clinical Nurse Specialist
- Texarkana, TX
- NPI 1396193066
-
- Rural Health Clinic/Center
- Malvern, AR
- NPI 1215773262
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Texarkana, TX
- NPI 1295736734
-
- Home Health Agency
- Texarkana, TX
- NPI 1558363408
-
- Home Health Agency
- Atlanta, TX
- NPI 1639228265
-
- Home Health Agency
- Paris, TX
- NPI 1033533047
-
- Home Health Agency
- Texarkana, AR
- NPI 1780076208
-
- Critical Access Hospital
- Hope, AR
- NPI 1164234308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550534400000",
"number": "1770049397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "#4 VALLEY VIEW CIRCLE",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "75503",
"telephone_number": "903-293-7806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "#4 VALLEY VIEW CIRCLE",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "75503",
"telephone_number": "903-293-7806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASH",
"first_name": "JEFFERY",
"name_prefix": "Mr.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-19",
"last_updated": "2019-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "AP140372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.