Individual provider Active NPI

Kortney Kai Spann

  • Family Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1023525490
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A005448 Issued in AR
Practice address
9601 Baptist Health Dr Ste 1200
Little Rock, AR 72205-6334
Phone
(501) 664-4131
Fax
(501) 975-1798
NPI assigned
Jan 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 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 A005448 AR Primary

Addresses

Primary practice location

9601 Baptist Health Dr Ste 1200
Little Rock, AR 72205-6334

Mailing address

4464 Gabby LN
Benton, AR 72019-1742
Phone (501) 317-5099

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
I20180424000773 AR Practitioner - Nurse Practitioner 1456614585 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Womens Healthcare of Arkansas PLLCGroup PAC ID 1658890595, 48 clinicians

Practice addresses (Care Compare)

9601 Baptist Health Dr
Suite 1200
Little Rock, AR 72205-6334
Phone (501) 664-4131

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A005448ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Womens Healthcare of Arkansas PLLC CurrentSince Jan 9, 2026 Accepting new patients
The Woman'S Clinic, PA CurrentSince May 15, 2024 Accepting new patients

Locations

9601 Baptist Health Dr
Ste 1100
Little Rock, AR 72205
Phone (501) 748-3210

9601 Baptist Health Dr
Ste 1200
Little Rock, AR 72205
Phone (501) 420-3884

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBAACD/Endpoint/DBAACD

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": "1515110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1023525490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4464 GABBY LN",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720191742",
            "telephone_number": "501-317-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 BAPTIST HEALTH DR STE 1200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056334",
            "telephone_number": "501-664-4131",
            "fax_number": "501-975-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANN",
        "first_name": "KORTNEY",
        "middle_name": "KAI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-05",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.