City of Jacksonville

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

358 Issued in AR

Legal business name

CITY OF JACKSONVILLE

Doing business as

City of Jacksonville EMS
JFD Ambulance Service

Practice address

900 N Redmond Rd
Jacksonville, AR 72076-3623

Phone

(501) 985-1252

NPI assigned

Oct 20, 2005

Last updated

Jan 15, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

CITY OF JACKSONVILLEAs reported in NPPES

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

Authorized official

Name

Nikki Wilmoth

Title

Ar Specialist

Phone

(501) 500-3028

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• CITY OF JACKSONVILLE EMS Doing business as
• JFD Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Part of

City of Jacksonville

Locations

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1902895055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 305",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720780305",
            "telephone_number": "501-500-3028",
            "fax_number": "501-241-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N REDMOND RD",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720763623",
            "telephone_number": "501-985-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF JACKSONVILLE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF JACKSONVILLE",
        "enumeration_date": "2005-10-20",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "WILMOTH",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "AR SPECIALIST",
        "authorized_official_telephone_number": "501-500-3028"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AR",
            "license": "358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104545715",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CITY OF JACKSONVILLE EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JFD Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Curtis Edwin Chatham, MCD,CCC-SLP
• Sara Chatman, MS
• CHG Cornerstone Hospital of Little Rock, LLC (Cornerstone Hospital of North Little Rock)
• Earnie D Childress Jr., QBHP
• Reginnia Marie Christian
• Clararose Home Care
• Angela Clark, LPC
• Brianni Clark
• Kala Allene Clark, MHPP
• Meagan Nichole Clark, CNA

• Land Ambulance in Jacksonville, AR
• Providers in Jacksonville, AR by specialty
• Land Ambulance in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.