Individual provider Active NPI

Keisha A. Fox

  • Family Nurse Practitioner
  • Conway, AR
National Provider Identifier
1033765490
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
121694 Issued in AR
Practice address
350 Salem Rd Ste 1
Conway, AR 72034-6166
Phone
(479) 518-4977
Fax
(479) 203-3030
NPI assigned
Aug 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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 121694 AR Primary

Addresses

Primary practice location

350 Salem Rd Ste 1
Conway, AR 72034-6166

Mailing address

350 Salem Rd Ste 1
Conway, AR 72034-6166
Phone (479) 518-4977

Other practice location 1

2450 Jerry Lee Dr
Conway, AR 72032-8803
Phone (501) 428-0036

Other practice location 2

1466 W Oak St
Zionsville, IN 46077-1800
Phone (317) 873-6438

Other practice location 3

1 Cvs Dr
Woonsocket, RI 02895-6146
Phone (401) 652-9787

Other practice location 4

558 Atkins Blvd
Marianna, AR 72360-2113
Phone (870) 295-5225

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
I20200904001410 AR Practitioner - Nurse Practitioner 5294159547 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling Associates IncGroup PAC ID 3173583564, 33 clinicians
Lee County Cooperative ClinicGroup PAC ID 8921917204, 4 clinicians

Practice addresses (Care Compare)

110 Skyline Dr
Russellville, AR 72801-3362
Phone (479) 967-5570

530 Atkins Blvd
Marianna, AR 72360-2113
Phone (870) 295-5225

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
121694ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lee County Cooperative Clinic CurrentSince Jun 3, 2020 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Dec 1, 2021 Accepting new patients
Ozark Guidance Center, Inc CurrentSince Nov 1, 2022 Accepting new patients
University of Arkansas for Medical Sciences Current Accepting new patients
Ozark Guidance Center, Inc CurrentSince Nov 1, 2022 Accepting new patients
Arisa Health, Inc. CurrentSince Aug 14, 2023 Accepting new patients
Counseling Associates Inc CurrentSince Jan 3, 2022 Accepting new patients
Counseling Associates, Inc. CurrentSince Jan 3, 2022 Accepting new patients
Arisa Health, Inc. Current Accepting new patients
Arisa Health, Inc. CurrentSince Aug 14, 2023 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Dec 1, 2021 Accepting new patients
Lee County Cooperative Clinic CurrentSince Jun 3, 2020 Accepting new patients
Lee County Cooperative Clinic Past Accepting new patients
Lee County Cooperative Clinic Past Accepting new patients

Locations

2508 SE 20th St
Bentonville, AR 72712
Phone (479) 273-9088

350 Salem Rd
Ste 1
Conway, AR 72034
Phone (501) 336-8300

1104 N College St
Huntsville, AR 72740
Phone (479) 738-2878

2707 Browns Ln
Jonesboro, AR 72401
Phone (870) 972-4000

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

530 Atkins Blvd
Marianna, AR 72360

110 Skyline Dr
Russellville, AR 72801
Phone 4799675570223

2400 S 48th St
Springdale, AR 72762
Phone (479) 725-5115

Interoperability endpoints

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

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1033765490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 SALEM RD STE 1",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346166",
            "telephone_number": "479-518-4977",
            "fax_number": "479-203-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SALEM RD STE 1",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346166",
            "telephone_number": "479-518-4977",
            "fax_number": "479-203-3030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2450 Jerry Lee Dr",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "AR",
            "postal_code": "720328803",
            "country_code": "US",
            "telephone_number": "501-428-0036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1466 W Oak St",
            "address_purpose": "LOCATION",
            "city": "Zionsville",
            "state": "IN",
            "postal_code": "460771800",
            "country_code": "US",
            "telephone_number": "317-873-6438",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Cvs Dr",
            "address_purpose": "LOCATION",
            "city": "Woonsocket",
            "state": "RI",
            "postal_code": "028956146",
            "country_code": "US",
            "telephone_number": "401-652-9787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "558 Atkins Blvd",
            "address_purpose": "LOCATION",
            "city": "Marianna",
            "state": "AR",
            "postal_code": "723602113",
            "country_code": "US",
            "telephone_number": "870-295-5225",
            "fax_number": "870-295-4070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOX",
        "first_name": "KEISHA",
        "middle_name": "A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "121694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.