KIM JAQUISH RNP
NPI 1245228485
Nurse Practitioner - Gerontology in Fort Smith, AR

NPI Status: Active since October 12, 2005

Contact Information

1500 DODSON AVE
STE 125
FORT SMITH, AR
ZIP 72901
Phone: (479) 573-7960
Fax: (479) 573-7961

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  • Individual
  • Female
  • Nurse Practitioner
  • Gerontology

About KIM JAQUISH

This page provides the complete NPI Profile along with additional information for Kim Jaquish, a provider established in Fort Smith, Arkansas with a medical specialization in Nurse Practitioner, focusing in gerontology . The healthcare provider is registered in the NPI registry with number 1245228485 assigned on October 2005. The practitioner's primary taxonomy code is 363LG0600X with license number P01373 (AR). The provider is registered as an individual and her NPI record was last updated 16 years ago.

NPI
1245228485
Provider Name
KIM JAQUISH RNP
Gender
Female
Entity Type
Individual
Location Address
1500 DODSON AVE STE 125 FORT SMITH, AR 72901
Location Phone
(479) 573-7960
Location Fax
(479) 573-7961
Mailing Address
PO BOX 402319 ATLANTA, GA 30384
Mailing Phone
(479) 709-7399
Mailing Fax
(479) 573-7961
Is Sole Proprietor?
No
Enumeration Date
10-12-2005
Last Update Date
08-27-2010
Code Navigator

A nurse practitioner (NP) like Kim Jaquish is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Gerontology

Taxonomy Code
363LG0600X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
P01373
License State
AR

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
5V417MEDICARE PIN (08)AR 
S98792MEDICARE UPIN (02)AR 
100013980AMEDICAID (05)OK 
155652741MEDICAID (05)AR 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1245228485, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
4
Doubled → 8
Pos 4
5
Unchanged
Pos 5
2
Doubled → 4
Pos 6
2
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 2 → 4 8 → 16 → 7 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 8 + 5 + 4 + 2 + 1 + 6 + 4 + 1 + 6 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1245228485.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychologist
1500 DODSON AVE, STE 240
FORT SMITH, AR 72901
Internal Medicine (Nephrology)
1500 DODSON AVE, STE 280
FORT SMITH, AR 72901
Obstetrics & Gynecology
1500 DODSON AVE, STE 230
FORT SMITH, AR 72901
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1500 DODSON AVE, STE 285
FORT SMITH, AR 72901
Family Medicine
1500 DODSON AVE
FORT SMITH, AR 72901
Internal Medicine (Geriatric Medicine)
1500 DODSON AVE, STE 125
FORT SMITH, AR 72901
Internal Medicine
1500 DODSON AVE, VA FT SMITH CBOC
FORT SMITH, AR 72901
Clinical Medical Laboratory
1500 DODSON AVE
FORT SMITH, AR 72901
Radiology (Body Imaging)
1500 DODSON AVE
FORT SMITH, AR 72901
Radiologic Technologist (Bone Densitometry)
1500 DODSON AVE, STE 140
FORT SMITH, AR 72901
Family Medicine
1500 DODSON AVE, STE 195
FORT SMITH, AR 72901
Internal Medicine (Cardiovascular Disease)
1500 DODSON AVE, STE 60
FORT SMITH, AR 72901
Anesthesiology (Pain Medicine)
1500 DODSON AVE, SUITE 65
FORT SMITH, AR 72901
Durable Medical Equipment & Medical Supplies
1500 DODSON AVE, STE 65
FORT SMITH, AR 72901
Audiologist-Hearing Aid Fitter
1500 DODSON AVE, SUITE 210
FORT SMITH, AR 72901
Podiatrist (Foot & Ankle Surgery)
1500 DODSON AVE, STE 290
FORT SMITH, AR 72901
Podiatrist (Foot & Ankle Surgery)
1500 DODSON AVE, STE 290
FORT SMITH, AR 72901
Podiatrist (Foot & Ankle Surgery)
1500 DODSON AVE, STE 290
FORT SMITH, AR 72901
Durable Medical Equipment & Medical Supplies
1500 DODSON AVE, STE 275
FORT SMITH, AR 72901
Durable Medical Equipment & Medical Supplies
1500 DODSON AVE, STE. 280
FORT SMITH, AR 72901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245228485, enumerated as an "individual" on October 12, 2005.

The provider is located at 1500 DODSON AVE STE 125 FORT SMITH, AR 72901 and the phone number is (479) 573-7960.

Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.