Active NPI
Kara Davis
- Nursing Home Administrator
- Jonesboro, AR
National Provider Identifier
1033405709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Home Administrator
- License
- 2482
- Practice address
- 5101 Harrisburg Rd
Jonesboro, AR 72404-8729 - Phone
- (870) 933-4535
- Fax
- (870) 935-0554
- NPI assigned
- Jun 21, 2011
- Last updated
- Jan 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Home Administrator | 376G00000X | 2482 | AR | Primary |
Addresses
Primary practice location
5101 Harrisburg Rd
Jonesboro, AR 72404-8729
Mailing address
1903 Mount Vernon Dr
Jonesboro, AR 72401-3655
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2482 | AR | MD | Nursing Home Administrator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Craighead County Nursing Home | Current | Accepting new patients |
Locations
5101 Harrisburg Rd
Jonesboro, AR 72404
Phone (870) 933-4535
Organizations & group practices 1
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.
-
dba Craighead Nursing Center
- Skilled Nursing Facility
- Jonesboro, AR
- NPI 1184703993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1033405709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1903 MOUNT VERNON DR",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724013655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5101 HARRISBURG RD",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724048729",
"telephone_number": "870-933-4535",
"fax_number": "870-935-0554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-21",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "376G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nursing Home Administrator",
"state": "AR",
"license": "2482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.