Individual provider Active NPI

Kaylee M Armendariz, APRN-CNP

  • Family Nurse Practitioner
  • Springdale, AR
National Provider Identifier
1033788195
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
216436 Issued in AR
Practice address
2878 Powell St
Springdale, AR 72764-7333
Phone
(479) 872-3045
Fax
(479) 419-5947
NPI assigned
Jun 23, 2021
Last updated
Jun 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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 216436 AR Primary

Addresses

Primary practice location

2878 Powell St
Springdale, AR 72764-7333

Mailing address

614 E Emma Ave Ste 300
Springdale, AR 72764-4469
Phone (479) 751-7417

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
I20210715003602 AR Practitioner - Nurse Practitioner 9739581505 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Francis House Nwa, Inc.Group PAC ID 0042262495, shared by 27 NPIs, 67 clinicians

Practice addresses (Care Compare)

235 S Buchanan Ave
Suite 1
Fayetteville, AR 72701-4904
Phone (479) 751-7417

2878 Powell St
Springdale, AR 72764-7333
Phone (479) 872-3045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216436ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis House Nwa, Inc CurrentSince Nov 1, 2024 Accepting new patients
St Francis House Nwa, Inc CurrentSince Jun 28, 2021 Accepting new patients
St Francis House Nwa, Inc Current Accepting new patients
St Francis House Nwa, Inc CurrentSince Jun 28, 2021 Accepting new patients
St. Francis House Nwa, Inc. Past Accepting new patients

Locations

375 N Rupple Rd
Fayetteville, AR 72704
Phone (479) 718-0200

2878 Powell St
Springdale, AR 72764
Phone (479) 750-8710

614 E Emma Ave
Ste 300
Springdale, AR 72764
Phone (479) 751-4898

1261 E Tulsa Ave
Kansas, OK 74347
Phone (918) 786-3391

Organizations & group practices 5

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": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1033788195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 E EMMA AVE STE 300",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727644469",
            "telephone_number": "479-751-7417",
            "fax_number": "479-751-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2878 POWELL ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727647333",
            "telephone_number": "479-872-3045",
            "fax_number": "479-419-5947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMENDARIZ",
        "first_name": "KAYLEE",
        "middle_name": "M",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "216436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.