NPIMap

Individual provider Active NPI

Jennifer Leigh Biddle, APRN

  • Family Nurse Practitioner
  • Magnolia, AR
National Provider Identifier
1902537764
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
220656 Issued in AR
Practice address
1005 N Jackson Ste B
Magnolia, AR 71753-2447
Phone
(870) 235-3200
NPI assigned
Jun 22, 2022
Last updated
Jun 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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 220656 AR Primary

Addresses

Primary practice location

1005 N Jackson Ste B
Magnolia, AR 71753-2447

Mailing address

PO Box 629
Magnolia, AR 71754-0629
Phone (870) 235-3200

Other identifiers 1

IdentifierTypeStateIssuer
R082816OtherARAR BOARD OF NURSING

Other names 1

  • Jennifer Leigh Silvertooth Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address orthoclinic@magnoliaclinics.hin.us Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220706002100 AR Practitioner - Nurse Practitioner 5799165908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 Hospital Dr
Magnolia, AR 71753-2415
Phone (870) 235-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Regional Health System Inc CurrentSince Jun 22, 2022 Accepting new patients
Magnolia Regional Health System Inc Past Accepting new patients
Magnolia Regional Health System Inc Past Accepting new patients
Magnolia Regional Health System Inc Past Accepting new patients

Locations

1005 N Jackson
Ste B
Magnolia, AR 71753
Phone (870) 235-3200

101 Hospital Dr
Magnolia, AR 71753
Phone (870) 235-3000

1010 N Dudney Rd
Ste C
Magnolia, AR 71753
Phone (870) 234-2675

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1902537764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 629",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717540629",
            "telephone_number": "870-235-3200",
            "fax_number": "870-235-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N JACKSON STE B",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717532447",
            "telephone_number": "870-235-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDDLE",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "220656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BOARD OF NURSING",
            "identifier": "R082816",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "orthoclinic@magnoliaclinics.hin.us",
            "affiliation": "N",
            "endpointDescription": "Ortho Clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1005 N Jackson Ste B",
            "city": "Magnolia",
            "state": "AR",
            "country_code": "US",
            "postal_code": "717532447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SILVERTOOTH",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Magnolia, AR

Sources for this page

Verify at the official NPI Registry.