Individual provider Active NPI

Kierra Jenkins, NP

  • Family Nurse Practitioner
  • Sherwood, AR
National Provider Identifier
1003485178
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
215178 Issued in AR
Practice address
11101 Bock Rd
Sherwood, AR 72120-2571
Phone
(501) 658-2725
NPI assigned
Jun 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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 215178 AR Primary

Addresses

Primary practice location

11101 Bock Rd
Sherwood, AR 72120-2571

Mailing address

425 W Capitol Ave Ste 244
Little Rock, AR 72201-3440
Phone (501) 400-3731

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
I20210930003249 AR Practitioner - Nurse Practitioner 9234536426 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hot Springs Interventional Pain Management PA CurrentSince Jun 1, 2022 Accepting new patients

Locations

1 Mercy Ln
Ste 304
Hot Springs National Park, AR 71913
Phone (501) 321-4772

11600 Kanis Rd
Ste 600
Little Rock, AR 72211
Phone (501) 312-0070

Interoperability endpoints

  • Direct secure messaging: ms_kjenki65@landmarkhealth-direct.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1003485178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W CAPITOL AVE STE 244",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722013440",
            "telephone_number": "501-400-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11101 BOCK RD",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721202571",
            "telephone_number": "501-658-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "KIERRA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "215178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherwood, AR

Sources for this page

Verify at the official NPI Registry.