Individual provider Active NPI

Karen Sue Hester, MD

  • Pediatrics Physician
  • Blytheville, AR
National Provider Identifier
1043289879
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C6801 Issued in AR
Practice address
1521 N 10TH St
Suite C
Blytheville, AR 72315-1405
Phone
(870) 762-5360
Fax
(870) 762-2095
NPI assigned
Mar 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C6801 AR Primary

Addresses

Primary practice location

1521 N 10TH St
Suite C
Blytheville, AR 72315-1405

Mailing address

1521 N 10TH St
Suite C
Blytheville, AR 72315-1405
Phone (870) 762-5360

Other identifiers 1

IdentifierTypeStateIssuer
112572001MedicaidAR

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101129000785 AR Practitioner - Pediatric Medicine 3274726435 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C6801ARMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine Associates of Blytheville PA CurrentSince Oct 13, 2010 Accepting new patients

Locations

1521 N 10th St
Ste C
Blytheville, AR 72315
Phone (870) 762-5360

Interoperability endpoints

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

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1043289879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 N 10TH ST",
            "address_2": "SUITE C",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723151405",
            "telephone_number": "870-762-5360",
            "fax_number": "870-762-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 N 10TH ST",
            "address_2": "SUITE C",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723151405",
            "telephone_number": "870-762-5360",
            "fax_number": "870-762-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESTER",
        "first_name": "KAREN",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "C6801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112572001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blytheville, AR

Sources for this page

Verify at the official NPI Registry.