Jacqueline Leigh Brown, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

124439 Issued in AR

Practice address

5082 N Washington St
Forrest City, AR 72335-7675

Phone

(870) 261-9149

Fax

(870) 261-9988

NPI assigned

Mar 26, 2020

Last updated

Feb 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 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1607/brand/1/csg/1/fhir/r4
• Direct secure messaging: jacqueline.brown.1@29584.direct.athenahealth.com
• Direct secure messaging: jbrow496@yourcarecommunity.org

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.

• The Littles, Inc

  dba The Littles Pediatric Clinic

  • Primary Care Clinic/Center
  • Forrest City, AR
  • NPI 1902477680
  Medicare reassignment NPD Authorized official
• Forrest City Clinic Company LLC

  • Internal Medicine Physician
  • Forrest City, AR
  • NPI 1821293051
  Medicare reassignment NPD
• Forrest City Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Forrest City, AR
  • NPI 1497080501
  Medicare reassignment NPD
• Forrest City Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Hope, AR
  • NPI 1760897904
  NPD

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1972130078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 235",
            "city": "COLT",
            "state": "AR",
            "postal_code": "723260235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5082 N WASHINGTON ST",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723357675",
            "telephone_number": "870-261-9149",
            "fax_number": "870-261-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JACQUELINE",
        "middle_name": "LEIGH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "124439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253702758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Breezeel, PHARMD
• Jennifer Nicole Brewer, PA-C
• Kara Britt, SLP
• Carol Brocato
• Alexis Brooks
• Kathy Brown, THERAPIST
• Tamilya Brown
• Jacob Brumley
• Aisha Shavoune Bryson, REGISTERED NURSE
• Loren Burks

• Family Nurse Practitioner in Forrest City, AR
• Providers in Forrest City, AR by specialty
• Family Nurse Practitioner in Arkansas

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