Dut Majok Dut, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

124303 Issued in AR

Practice address

5396 Hollow Creek LN
Jonesboro, AR 72404-7075

Phone

(870) 351-7048

NPI assigned

Jul 21, 2022

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Sudesh Banaji MD PLLC

  dba Earle Family Medical Clinic

  • Rural Health Clinic/Center
  • Earle, AR
  • NPI 1639319411
  Medicare reassignment NPD
• Sudesh Banaji, MD, PLLC

  dba Internal Medicine of Forrest City

  • Internal Medicine Physician
  • Forrest City, AR
  • NPI 1659455830
  NPD (past)

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1881329928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5396 HOLLOW CREEK LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724047075",
            "telephone_number": "870-351-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5396 HOLLOW CREEK LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724047075",
            "telephone_number": "870-351-7048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUT",
        "first_name": "DUT",
        "middle_name": "MAJOK",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "124303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Dunlap
• Alexandria Lee Dunn Barnett, MD
• Charles Dunn, M.D.
• Charlene Dunnam, CF-SLP
• Kathryn Ann Durham
• Jenna Dutton
• Samantha Duvall, PA-C
• Chitharanjan Duvoor, M.D.,MRCGP
• Dyson Psychiactric Care, LLC
• Cori Anne Dyson, M.D

• Family Nurse Practitioner in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.