Individual provider Active NPI

Meaghan Danielle Kingston, APRN

  • Family Nurse Practitioner
  • Walnut Ridge, AR
National Provider Identifier
1013308436
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004313 Issued in AR
Practice address
1045 W Main St Ste C
Walnut Ridge, AR 72476
Phone
(870) 930-9990
Fax
(870) 930-9992
NPI assigned
Feb 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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 A004313 AR Primary

Addresses

Primary practice location

1045 W Main St Ste C
Walnut Ridge, AR 72476

Mailing address

9146 Highway 63 N
Bono, AR 72416-8153
Phone (870) 930-9990

Other practice location 1

300 Carson St
Jonesboro, AR 72401-3104
Phone (870) 932-1198

Other practice location 2

9146 Highway 63 N
Bono, AR 72416-8153
Phone (870) 930-9990

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
I20150305000555 AR Practitioner - Nurse Practitioner 5698091841 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A004313ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
JT Dewitt, D.O., P.a. Current Accepting new patients
Nea Reliant Health Care Professionals Inc Family CurrentSince Feb 28, 2017 Accepting new patients

Locations

9146 Highway 63 N
Bono, AR 72416
Phone (870) 930-9990

1045 W Main St
#C
Walnut Ridge, AR 72476
Phone (870) 886-8300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12230/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1013308436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9146 HIGHWAY 63 N",
            "city": "BONO",
            "state": "AR",
            "postal_code": "724168153",
            "telephone_number": "870-930-9990",
            "fax_number": "870-930-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 W MAIN ST STE C",
            "city": "WALNUT RIDGE",
            "state": "AR",
            "postal_code": "72476",
            "telephone_number": "870-930-9990",
            "fax_number": "870-930-9992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Carson St",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724013104",
            "country_code": "US",
            "telephone_number": "870-932-1198",
            "fax_number": "870-910-7700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9146 Highway 63 N",
            "address_purpose": "LOCATION",
            "city": "Bono",
            "state": "AR",
            "postal_code": "724168153",
            "country_code": "US",
            "telephone_number": "870-930-9990",
            "fax_number": "870-930-9992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINGSTON",
        "first_name": "MEAGHAN",
        "middle_name": "DANIELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-06",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Ridge, AR

Sources for this page

Verify at the official NPI Registry.