Kimberly Lister, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A005767 Issued in AR

Practice address

309 Southridge Blvd Ste a
Heber Springs, AR 72543-8877

Phone

(501) 250-2020

Fax

(502) 250-0200

NPI assigned

Jul 26, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: kimberly.lister.1@13505.direct.athenahealth.com

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.

• Dan Lister, MD PA

  • Surgery Physician
  • Heber Springs, AR
  • NPI 1518313535
  Medicare reassignment

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1023595659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 SOUTHRIDGE BLVD STE A",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725438877",
            "telephone_number": "501-250-2020",
            "fax_number": "502-250-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 SOUTHRIDGE BLVD STE A",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725438877",
            "telephone_number": "501-250-2020",
            "fax_number": "502-250-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISTER",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaleigh Brooke Lasley
• Kayla Laster, SLP
• George Foster Lay, DDS MS
• Johanna Belle Lehfeldt, OTR/L
• Danny Gene Lister, MD
• Sherry Lynn Lowery
• Lynda Larue Heber Springs Counseling
• Magnolia Medical, PLLC
• Meagan Marks, COTA/L
• Rocky Martin, PHARMD

• Family Nurse Practitioner in Heber Springs, AR
• Providers in Heber Springs, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.