Individual provider Active NPI

Kara Davis

  • Nursing Home Administrator
  • Jonesboro, AR
National Provider Identifier
1033405709
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Home AdministratorTaxonomy code 376G00000X
License
2482 Issued in AR
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Home AdministratorGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
2482ARMDNursing Home Administrator

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.