Active NPI
Karen Sue Hester, MD
- Pediatrics Physician
- Blytheville, AR
National Provider Identifier
1043289879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C6801
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112572001 | Medicaid | AR |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C6801 | AR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Medicine Associates of Blytheville PA | Current | Accepting new patients |
Locations
1521 N 10th St
Ste C
Blytheville, AR 72315
Phone (870) 762-5360
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- Blytheville, AR
- NPI 1609934249
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
- Heart N Soul Hospice Arkansas LLC
- Tracy Hendricks, BS
- Heritage Square Nursing and Rehabilitation Center, Inc.
- James Anthony Hess, DDS
- Jillian Hester, PHARMD
- Richard Lee Hester, MD
- Rachel Hickman
- Higginbotham Dental Group, PLLC (Higginbotham Family Dental)
- Michael T Higginbotham, DDS
- Shamana Brook Hill
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.