Individual provider Active NPI

Joyce Kinney, M.D.

  • Contractor
  • Crossett, AR
National Provider Identifier
1043342207
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
C6050 Issued in AR
Practice address
1015 Unity Rd
Crossett, AR 71635-9443
Phone
(870) 538-5200
Fax
(870) 364-3636
NPI assigned
Mar 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X C6050 AR Primary

Addresses

Primary practice location

1015 Unity Rd
Crossett, AR 71635-9443

Mailing address

P O Box 111
Dermott, AR 71638
Phone (870) 538-5200

Other identifiers 1

IdentifierTypeStateIssuer
50734OtherARBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090223000162 AR Practitioner - Internal MedicinePractitioner - Emergency Medicine 0547325789 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C6050ARMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Emergency Staffing Solutions, Inc CurrentSince Oct 1, 2009 Accepting new patients
Chicot Memorial Hospital Past Accepting new patients
Crossett Health Foundation Past Accepting new patients
Crossett Health Foundation Past Accepting new patients

Locations

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

1015 Unity Rd
#400
Crossett, AR 71635
Phone (870) 364-1272

2729 S Highway 65 82
Lake Village, AR 71653
Phone (870) 265-5351

1341 W 6th St
Waldron, AR 72958
Phone (479) 637-2136

Organizations & group practices 4

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043342207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 111",
            "city": "DERMOTT",
            "state": "AR",
            "postal_code": "71638",
            "telephone_number": "870-538-5200",
            "fax_number": "870-364-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 UNITY RD",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716359443",
            "telephone_number": "870-538-5200",
            "fax_number": "870-364-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNEY",
        "first_name": "JOYCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "AR",
            "license": "C6050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "50734",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossett, AR

Sources for this page

Verify at the official NPI Registry.