Individual provider Active NPI

Katina Briscoe, APN

  • Family Nurse Practitioner
  • Augusta, AR
National Provider Identifier
1023170305
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A002982 Issued in AR
Practice address
400 Highway 64 E
Augusta, AR 72006
Phone
(870) 347-3351
NPI assigned
Dec 14, 2006
Last updated
Jan 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 902574 MS
Family Nurse Practitioner 363LF0000X 3007796 KY
Family Nurse Practitioner 363LF0000X A002982 AR Primary

Addresses

Primary practice location

400 Highway 64 E
Augusta, AR 72006

Mailing address

PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-3350

Other identifiers 1

IdentifierTypeStateIssuer
165059758MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, KY, MS3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20071105000263 AR Practitioner - Nurse Practitioner 5395832562 Reassigns benefits to 1 organization
I20130405000407 KY Practitioner - Nurse Practitioner 5395832562 Reassigns benefits to 1 organization
I20180417000208 MS Practitioner - Nurse Practitioner 5395832562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ArcareGroup PAC ID 2567370620, 249 clinicians

Practice addresses (Care Compare)

400 Hwy 64 E
Augusta, AR 72006-5150
Phone (870) 347-2508

406 Rodgers Dr
Searcy, AR 72143-7433
Phone (501) 279-7979

615 N Main
Brinkley, AR 72021-2507
Phone (870) 734-1153

623 N 9TH St
Augusta, AR 72006-2129
Phone (870) 347-2534

801 N Edmonds
McCrory, AR 72101-0807
Phone (870) 731-5411

908 Edmonds Ave
MC Crory, AR 72101-8073
Phone (870) 731-0509

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A002982ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arcare CurrentSince Aug 1, 2006 Accepting new patients
Arcare Current Accepting new patients
Arcare CurrentSince Mar 23, 2018 Accepting new patients
Arcare CurrentSince Aug 1, 2006 Accepting new patients
White River Rural Health Center, Inc. Past Accepting new patients
Arcare Past Accepting new patients

Locations

117 S 2nd St
Augusta, AR 72006

400 Highway 64 E
Augusta, AR 72006
Phone (870) 347-2508

623 N 9th St
Augusta, AR 72006
Phone (870) 347-3254

623 N 9th St
#40
Augusta, AR 72006

615 N Main St
Brinkley, AR 72021
Phone (870) 734-1100

125 S 20th St
Paducah, KY 42001
Phone (270) 415-0467

353 Highway 15 N
Pontotoc, MS 38863
Phone (662) 489-5999

Interoperability endpoints

  • Direct secure messaging: katina.briscoe@arcare.directbygreenway.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1023170305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720060497",
            "telephone_number": "870-347-3350",
            "fax_number": "870-347-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HIGHWAY 64 E",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "72006",
            "telephone_number": "870-347-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISCOE",
        "first_name": "KATINA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902574",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007796",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A002982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165059758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, AR

Sources for this page

Verify at the official NPI Registry.