Katherine Elizabeth Dunham, APRN
Individual provider Active NPI Family Nurse Practitioner · Clinton, AR
NPI 1003579418 · NPPES record last updated Apr 25, 2026
Key facts
- NPI
- 1003579418
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 214892 (AR)
- Practice address
- 175 Volunteer Pkwy
Clinton, AR 72031-8001 - Phone
- (501) 745-3388
- Fax
- (501) 745-3006
- NPI assigned
- Oct 21, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211202000494 | AR | Practitioner - Nurse Practitioner | 1254721459 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozark Health, Inc | Current |
Accepting new patients | |
| Ozark Health, Inc | Current | Accepting new patients |
Locations
2526 Highway 65 S
Ste 201
Clinton, AR 72031
Phone (501) 745-3388
390 Factory Rd
Ste B
Clinton, AR 72031
Phone (501) 745-2999
175 Volunteer Pkwy
Clinton, AR 72031
Phone (501) 745-3033
383 Dave Creek Pkwy
Fairfield Bay, AR 72088
Phone (501) 745-3388
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HDFHAA/Endpoint/HDFHAA
- katie.dunham@msc.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 214892 | AR | Yes |
Addresses
Primary practice location
175 Volunteer Pkwy
Clinton, AR 72031-8001
Mailing address
175 Volunteer Pkwy
Clinton, AR 72031-8001
Phone (501) 757-3388
Other providers in Clinton, AR
- Sheila Debow
- Martha Dennis
- Melanie Paige Diorio
- Dodd Family Practice, PLLC
- Robbie Todd Douglas
- Robin Lanae Duran
- Christopher Dutton
- Frances Eagle
- Lisa Edwards
- Megan Eitzmann
All providers in Clinton, AR · Family Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.