Individual provider Active NPI

Kara Lynette Carpenter Treadway

  • Family Nurse Practitioner
  • Newport, AR
National Provider Identifier
1063296333
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
600068 Issued in OK
Practice address
1702 Malcolm Ave
Newport, AR 72112-3624
Phone
(870) 495-7001
Fax
(870) 495-7012
NPI assigned
Aug 18, 2023
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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 600068 OK Primary

Addresses

Primary practice location

1702 Malcolm Ave
Newport, AR 72112-3624

Mailing address

4196 Highway 62 412 Ste a
Hardy, AR 72542-8002

Other practice location 1

2088 N Hwy 81
Duncan, OK 73533-1416
Phone (580) 606-6201

Other names 1

  • Kara Treadway Professional name

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
I20240502001863 AR Practitioner - Nurse Practitioner 8729442413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 E Main St
Blytheville, AR 72315-2531
Phone (870) 409-7060

1624 Pine St
Arkadelphia, AR 71923-4429
Phone (870) 464-9110

16723 Hwy 62
Garfield, AR 72732-7007
Phone (870) 219-7706

1702 Malcolm Ave
Newport, AR 72112-3624
Phone (870) 495-7001

806 E Main St
Flippin, AR 72634-8668
Phone (870) 219-7706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
600068OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Medical Clinic Arkansas LLC CurrentSince Apr 22, 2024 Accepting new patients
Access Medical Clinic Arkansas LLC CurrentSince Apr 22, 2024 Accepting new patients
Access Medical Clinic Arkansas LLC Current Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients

Locations

16723 Highway 62
Garfield, AR 72732
Phone (870) 219-7706

4196 Highway 62 412
#A
Hardy, AR 72542
Phone (870) 856-2100

1702 Malcolm Ave
Newport, AR 72112
Phone (870) 495-7001

Interoperability endpoints

  • Direct secure messaging: kara.treadway.1@15024.direct.athenahealth.com

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": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1063296333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4196 HIGHWAY 62 412 STE A",
            "city": "HARDY",
            "state": "AR",
            "postal_code": "725428002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 MALCOLM AVE",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721123624",
            "telephone_number": "870-495-7001",
            "fax_number": "870-495-7012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2088 N Hwy 81",
            "address_purpose": "LOCATION",
            "city": "Duncan",
            "state": "OK",
            "postal_code": "735331416",
            "country_code": "US",
            "telephone_number": "580-606-6201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARPENTER TREADWAY",
        "first_name": "KARA",
        "middle_name": "LYNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-18",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "600068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "TREADWAY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Newport, AR

Sources for this page

Verify at the official NPI Registry.