Individual provider Active NPI

Lanora Jamerson

  • Counselor
  • El Dorado, AR
National Provider Identifier
1831575869
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
412 N Washington Ave
El Dorado, AR 71730-5616
Phone
(870) 863-4611
Fax
(870) 863-4962
NPI assigned
Jul 31, 2015
Sex
Female
Sole proprietor
No

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)
Not enrolled

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

412 N Washington Ave
El Dorado, AR 71730-5616

Mailing address

602 N Walton Blvd
Bentonville, AR 72712-4576
Phone (479) 464-1060

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 31, 2015.

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438300800000",
    "number": "1831575869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 N WALTON BLVD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727124576",
            "telephone_number": "479-464-1060",
            "fax_number": "479-271-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 N WASHINGTON AVE",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717305616",
            "telephone_number": "870-863-4611",
            "fax_number": "870-863-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMERSON",
        "first_name": "LANORA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-31",
        "last_updated": "2015-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; 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.