Jimmeka Blakemore

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

621 E North St
Magnolia, AR 71753-3120

Phone

(870) 234-0739

NPI assigned

Jun 26, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• United Methodist Behavioral Health System, Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Magnolia, AR
  • NPI 1457598393
  NPD (past)

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1992540512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 ALDERSGATE RD STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056676",
            "telephone_number": "501-906-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 E NORTH ST",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717533120",
            "telephone_number": "870-234-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKEMORE",
        "first_name": "JIMMEKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willis Tilmon Beene, DDS
• Jensyn Belin
• Beverly Enterprises - Arkansas, Inc.
• Kevin E Bias, PT,MS,MED
• Jennifer Leigh Biddle, APRN
• George Barnes Bloom II, MD
• Dan Bocan, CRNA
• Patricia D. Bocan, CRNA
• Cassidy Bonner
• Anitra Lynette Bradford, LAC

• All providers in Magnolia, AR
• Case Manager/Care Coordinator in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.