Active NPI
Jamie S Flanagan, FNP
- Nurse Practitioner
- Branson, MO
National Provider Identifier
1811036767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2002031429
- Practice address
- 121 Cahill Rd
Ste 204
Branson, MO 65616-2036 - Phone
- (417) 335-7296
- Fax
- (417) 335-7588
- NPI assigned
- Feb 6, 2007
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2002031429 | MO | Primary |
Addresses
Primary practice location
121 Cahill Rd
Ste 204
Branson, MO 65616-2036
Mailing address
121 Cahill Rd
Ste 204
Branson, MO 65616-2036
Phone (417) 335-7296
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201348 | Other | MO | MO BLUE SHIELD |
| 427276605 | Medicaid | MO | |
| 159887758 | Medicaid | AR |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Arts Center L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Branson, MO
- NPI 1518040443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344297600000",
"number": "1811036767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 CAHILL RD",
"address_2": "STE 204",
"city": "BRANSON",
"state": "MO",
"postal_code": "656162036",
"telephone_number": "417-335-7296",
"fax_number": "417-335-7588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 CAHILL RD",
"address_2": "STE 204",
"city": "BRANSON",
"state": "MO",
"postal_code": "656162036",
"telephone_number": "417-335-7296",
"fax_number": "417-335-7588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLANAGAN",
"first_name": "JAMIE",
"middle_name": "S",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2012-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2002031429",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MO BLUE SHIELD",
"identifier": "201348",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "427276605",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "159887758",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Branson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.