Individual provider Active NPI

Katherine Elizabeth Dunham, APRN

  • Family Nurse Practitioner
  • Clinton, AR
National Provider Identifier
1003579418
Registry record updated Apr 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
214892 Issued in AR
Practice address
175 Volunteer Pkwy
Clinton, AR 72031-8001
Phone
(501) 745-3388
Fax
(501) 745-3006
NPI assigned
Oct 21, 2021
Last updated
Apr 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2026

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 214892 AR Primary

Addresses

Primary practice location

175 Volunteer Pkwy
Clinton, AR 72031-8001

Mailing address

175 Volunteer Pkwy
Clinton, AR 72031-8001
Phone (501) 757-3388

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
I20211202000494 AR Practitioner - Nurse Practitioner 1254721459 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ozark Health, Inc Current Accepting new patients
Ozark Health, Inc CurrentSince Feb 22, 2022 Accepting new patients

Locations

175 Volunteer Pkwy
Clinton, AR 72031
Phone (501) 745-3033

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

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

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDFHAA/Endpoint/HDFHAA
  • Direct secure messaging: katie.dunham@msc.directbygreenway.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777075200000",
    "number": "1003579418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 VOLUNTEER PKWY",
            "city": "CLINTON",
            "state": "AR",
            "postal_code": "720318001",
            "telephone_number": "501-757-3388",
            "fax_number": "501-745-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 VOLUNTEER PKWY",
            "city": "CLINTON",
            "state": "AR",
            "postal_code": "720318001",
            "telephone_number": "501-745-3388",
            "fax_number": "501-745-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNHAM",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-21",
        "last_updated": "2026-04-25",
        "certification_date": "2026-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "214892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, AR

Sources for this page

Verify at the official NPI Registry.