Individual provider Active NPI

Sydney Markum

  • Family Nurse Practitioner
  • Jonesboro, AR
National Provider Identifier
1801679048
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
120981 Issued in AR
Practice address
1319 Red Wolf Blvd Ste C
Jonesboro, AR 72401-4585
Phone
(870) 206-9272
NPI assigned
Aug 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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 120981 AR Primary

Addresses

Primary practice location

1319 Red Wolf Blvd Ste C
Jonesboro, AR 72401-4585

Mailing address

1319 Red Wolf Blvd Ste C
Jonesboro, AR 72401-4585
Phone (870) 206-9272

Other practice location 1

225 E Washington Ave
Jonesboro, AR 72401-3111
Phone (870) 207-4100

Other practice location 2

201 E Oak Ave
Jonesboro, AR 72401-4163
Phone (870) 935-6729

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
I20231215001886 AR Order and Referring Only - Nurse Practitioner 3779932736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
120981ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Allergy & Wellness CurrentSince Mar 11, 2025 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1319 Red Wolf Blvd
Ste C
Jonesboro, AR 72401
Phone (870) 206-9272

2709 W Kingshighway
Ste 8
Paragould, AR 72450
Phone (870) 236-3388

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.

NPI Registry JSON

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1801679048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 RED WOLF BLVD STE C",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014585",
            "telephone_number": "870-206-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 RED WOLF BLVD STE C",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014585",
            "telephone_number": "870-206-9272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 E Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724013111",
            "country_code": "US",
            "telephone_number": "870-207-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 E Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724014163",
            "country_code": "US",
            "telephone_number": "870-935-6729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKUM",
        "first_name": "SYDNEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "120981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.