Active NPI
Keisha A. Fox
- Family Nurse Practitioner
- Conway, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 121694
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 IncLee County Cooperative Clinic
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
| License | State | Type | Specialty |
|---|---|---|---|
| 121694 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee County Cooperative Clinic | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| Ozark Guidance Center, Inc | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| Ozark Guidance Center, Inc | Current | Accepting new patients | |
| Arisa Health, Inc. | Current | Accepting new patients | |
| Counseling Associates Inc | Current | Accepting new patients | |
| Counseling Associates, Inc. | Current | Accepting new patients | |
| Arisa Health, Inc. | Current | Accepting new patients | |
| Arisa Health, Inc. | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| Lee County Cooperative Clinic | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Marianna, AR
- NPI 1669480836
AR
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1588654016
AR
-
- Federally Qualified Health Center (FQHC)
- Wabash, AR
- NPI 1356359442
-
- Federally Qualified Health Center (FQHC)
- Hughes, AR
- NPI 1134137219
-
- Federally Qualified Health Center (FQHC)
- Madison, AR
- NPI 1679581532
-
- Community/Behavioral Health Agency
- Jonesboro, AR
- NPI 1306532767
-
- Family Medicine Physician
- Jonesboro, AR
- NPI 1760187413
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Heber Springs, AR
- NPI 1144701848
-
- Family Medicine Physician
- Springdale, AR
- NPI 1659945194
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.