Active NPI
Kidneysue, LLC
- Adult Medicine Physician
- Hot Springs, AR
National Provider Identifier
1063042893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- Legal business name
- KIDNEYSUE, LLC
- Practice address
- 216 Summit Ridge PL
Hot Springs, AR 71901-8671 - Phone
- (501) 620-0929
- NPI assigned
- Jan 21, 2020
- Last updated
- Jan 21, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Hanig, APRN
- Title
- Nurse Practitioner
- Phone
- (501) 620-0929
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | NU | Primary |
Addresses
Primary practice location
216 Summit Ridge PL
Hot Springs, AR 71901-8671
Mailing address
1661 Airport Rd Ste D
Hot Springs, AR 71913-8184
Phone (501) 625-7500
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gerontology Nurse Practitioner
- Hot Springs, AR
- NPI 1659351864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579564800000",
"number": "1063042893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1661 AIRPORT RD STE D",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719138184",
"telephone_number": "501-625-7500",
"fax_number": "501-625-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 SUMMIT RIDGE PL",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719018671",
"telephone_number": "501-620-0929"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDNEYSUE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-21",
"last_updated": "2020-01-21",
"certification_date": "2020-01-21",
"status": "A",
"authorized_official_last_name": "HANIG",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "501-620-0929",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hot Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.