Active NPI
Jessica Beth Preston, APRN-PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Springdale, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- A005825
- Practice address
- 614 E Emma Ave Ste 300
Springdale, AR 72764-4469 - Phone
- (479) 751-7417
- NPI assigned
- Aug 8, 2018
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | A005825 | AR | Primary |
Addresses
Primary practice location
614 E Emma Ave Ste 300
Springdale, AR 72764-4469
Mailing address
15825 Seely Rd
West Fork, AR 72774-9540
Phone (479) 601-7646
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
809 SW I St
Suite 23
Bentonville, AR 72712-6240
Phone (855) 284-7483
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Francis House Nwa, Inc | Current | Accepting new patients | |
| Thriveworks Telepsychiatry - Arkansas | Current | Accepting new patients | |
| St Francis House Nwa, Inc | Current | Accepting new patients | |
| Mental Health Specialty Group PA | Current | Accepting new patients | |
| St Francis House Nwa, Inc | Current | Accepting new patients |
Locations
809 SW I St
Ste 23
Bentonville, AR 72712
Phone (603) 356-4949
614 E Emma Ave
Ste 300
Springdale, AR 72764
Phone (479) 751-4898
Organizations & group practices 5
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.
-
- Mental Health Counselor
- Fayetteville, AR
- NPI 1669130928
-
dba Community Clinic Central Junior High
- Federally Qualified Health Center (FQHC)
- Springdale, AR
- NPI 1821838996
-
dba Rula Health
- Mental Health Counselor
- Durham, NC
- NPI 1801472634
AR
-
dba Siloam Springs SBHC
- Federally Qualified Health Center (FQHC)
- Siloam Springs, AR
- NPI 1083034029
-
dba Community Clinic West Fork
- Federally Qualified Health Center (FQHC)
- West Fork, AR
- NPI 1336986785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533686400000",
"number": "1811476146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15825 SEELY RD",
"city": "WEST FORK",
"state": "AR",
"postal_code": "727749540",
"telephone_number": "479-601-7646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 E EMMA AVE STE 300",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727644469",
"telephone_number": "479-751-7417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESTON",
"first_name": "JESSICA",
"middle_name": "BETH",
"name_prefix": "Mrs.",
"credential": "APRN-PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-08",
"last_updated": "2018-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AR",
"license": "A005825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springdale, AR
- Mieka C Pratt
- Andrea L Predl, LCSW
- Preferred Family Healthcare Inc (Dayspring Behavioral Health Services)
- Premier Pharmacy Care, LLC
- Johnny Lee Presley Jr.
- Mitchell Craig Preston, M.D.
- Ray Gordon Price, PD
- James Lee Pridmore, LCSW
- Jennifer Pridmore, ATC, LAT
- Prince Ventures LLC (Advanced Therapeutic Assist)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.