Active NPI
Jenny Marie Allen Pratt
- Certified Registered Nurse Anesthetist
- Springdale, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- C002615
- Practice address
- 2601 Gene George Blvd
Springdale, AR 72762-0845 - Phone
- (479) 725-6800
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2930 | SC | |
| Certified Registered Nurse Anesthetist | 367500000X | C002615 | AR | Primary |
Addresses
Primary practice location
2601 Gene George Blvd
Springdale, AR 72762-0845
Mailing address
PO Box 251418
Little Rock, AR 72225-1418
Phone (501) 364-1100
Other practice location 1
palmetto health
1321 lady street
columbia, SC 29201
Phone (803) 296-2548
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2930 | SC | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| Arkansas Children'S Hospital | Current | Accepting new patients | |
| Arkansas Childrens Hospital | Current | Accepting new patients | |
| Anesthesia Services of Benton County PA | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| Northeast Arkansas Clinic Charitable Foundation, Inc. | Past | Accepting new patients | |
| Bentonville Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278
1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874
1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006
4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278
2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000
2601 Gene George Blvd
Springdale, AR 72762
Phone (479) 725-6800
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Rogers, AR
- NPI 1013084482
-
- Pediatrics Physician
- Little Rock, AR
- NPI 1598773079
-
- Pediatrics Physician
- Little Rock, AR
- NPI 1346230968
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1588654016
-
- Pediatrics Physician
- Little Rock, AR
- NPI 1629889464
-
- Children's Hospital
- Little Rock, AR
- NPI 1477561983
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1023795051
-
- General Practice Physician
- Little Rock, AR
- NPI 1336533041
-
- Anesthesiology Physician
- Bentonville, AR
- NPI 1447281670
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Jonesboro, AR
- NPI 1992036032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1912937103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 251418",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722251418",
"telephone_number": "501-364-1100",
"fax_number": "803-296-2525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 GENE GEORGE BLVD",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727620845",
"telephone_number": "479-725-6800"
}
],
"practiceLocations": [
{
"address_1": "palmetto health",
"address_2": "1321 lady street",
"address_purpose": "LOCATION",
"city": "columbia",
"state": "SC",
"postal_code": "29201",
"country_code": "US",
"telephone_number": "803-296-2548",
"fax_number": "803-296-2525",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRATT",
"first_name": "JENNY",
"middle_name": "MARIE ALLEN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "2930",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AR",
"license": "C002615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.