Individual provider Active NPI

Jessica Lynn Garriott, NP-C

  • Family Nurse Practitioner
  • Dumas, AR
National Provider Identifier
1952732141
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A003995 Issued in AR
Practice address
803 Highway 65 S
Dumas, AR 71639-3006
Phone
(870) 382-8261
NPI assigned
Dec 12, 2013
Last updated
Dec 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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 A003995 AR Primary

Addresses

Primary practice location

803 Highway 65 S
Dumas, AR 71639-3006

Mailing address

418 E Farmer St
Dumas, AR 71639
Phone (870) 377-1395

Other names 1

  • Jessica Lynn Berry Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140407000651 AR Practitioner - Nurse Practitioner 6305078346 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Memorial Hospital CurrentSince Oct 6, 2021 Accepting new patients
Delta Memorial Hospital CurrentSince Oct 6, 2021 Accepting new patients
Delta Memorial Hospital Past Accepting new patients

Locations

803 Highway 65 S
Dumas, AR 71639
Phone (870) 382-4400

811 Highway 65 S
Dumas, AR 71639
Phone (870) 382-4303

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/deltamh-91f47cd8

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419206400000",
    "number": "1952732141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 E FARMER ST",
            "city": "DUMAS",
            "state": "AR",
            "postal_code": "71639",
            "telephone_number": "870-377-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 HIGHWAY 65 S",
            "city": "DUMAS",
            "state": "AR",
            "postal_code": "716393006",
            "telephone_number": "870-382-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRIOTT",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-12",
        "last_updated": "2014-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A003995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BERRY",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dumas, AR

Sources for this page

Verify at the official NPI Registry.