Jennifer Terry

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E15106 Issued in AR

Practice address

300 E 6TH St
Texarkana, AR 71854-5207

Phone

(870) 799-6093

NPI assigned

May 17, 2020

Last updated

Aug 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EGDDDD

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.

• Arkansas Emergency Staffing Solutions, Inc

  • Emergency Medicine Physician
  • Hope, AR
  • NPI 1275774630
  Medicare reassignment NPD
• Ess of Fordyce LLC

  • Emergency Medicine Physician
  • Fordyce, AR
  • NPI 1821547977
  Medicare reassignment NPD
• Forrest City Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Forrest City, AR
  • NPI 1497080501
  Medicare reassignment NPD
• Hospital Care Consultants of Fordyce LLC

  • Hospitalist Physician
  • Fordyce, AR
  • NPI 1316497464
  Medicare reassignment NPD
• Mercy Hospital Booneville

  • Certified Registered Nurse Anesthetist
  • Booneville, AR
  • NPI 1083004733
  Medicare reassignment NPD
• Mercy Hospital Ozark

  • Emergency Care Clinic/Center
  • Ozark, AR
  • NPI 1881642767
  Medicare reassignment NPD
• Mercy Hospital Paris

  • Emergency Care Clinic/Center
  • Paris, AR
  • NPI 1518915321
  Medicare reassignment NPD
• Mercy Hospital Waldron

  • Emergency Care Clinic/Center
  • Waldron, AR
  • NPI 1730137134
  Medicare reassignment NPD
• Pafford Physician Services Em PLLC

  • Emergency Medicine Physician
  • Hope, AR
  • NPI 1689445330
  Medicare reassignment NPD
• Pafford Physician Services HM PLLC

  • Hospitalist Physician
  • Hope, AR
  • NPI 1548031297
  Medicare reassignment NPD
• Forrest City Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Hope, AR
  • NPI 1760897904
  NPD
• HCC of Warren Hospitalist LLC

  • Emergency Medicine Physician
  • Warren, AR
  • NPI 1326641606
  NPD

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

{
    "created_epoch": "1589673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1952923518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 U OF A WAY",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718541419",
            "telephone_number": "870-779-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E 6TH ST",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718545207",
            "telephone_number": "870-799-6093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3417 U Of A Way",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "AR",
            "postal_code": "718541419",
            "country_code": "US",
            "telephone_number": "870-779-6000 x47946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRY",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-17",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E15106",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E15106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget M Taylor
• Linda Taylor
• Tba Texarkana LLC (Vista Health Texarkana Rspmi)
• Team Medical Supply, LLC
• Team Medical Supply, LLC
• Texarkana Ar Opco LLC (The Springs of Texarkana)
• Texarkana Arkansas School District
• Texarkana Arkansas School District
• Texarkana Arkansas School District
• Texarkana Behavioral Associates LC (Vista Health Texarkana)

• Family Medicine Physician in Texarkana, AR
• Providers in Texarkana, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.