Active NPI
Callie Reynolds, APRN
- Acute Care Nurse Practitioner
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- A004614
- Practice address
- Vital Care of Little Rock
15200 Chenae Parkway Suite 100
Little Rock, AR 72211 - Phone
- (501) 451-6080
- Fax
- (501) 451-6081
- NPI assigned
- Feb 23, 2016
- Last updated
- Sep 28, 2022
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | A004614 | AR | Primary |
Addresses
Primary practice location
Vital Care of Little Rock
15200 Chenae Parkway Suite 100
Little Rock, AR 72211
Mailing address
Vital Care of Little Rock
15200 Chenae Parkway Suite 100
Little Rock, AR 72211
Phone (501) 451-6080
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15200 Chenal Pkwy
Suite 300
Little Rock, AR 7221120ND
Phone (501) 451-6080
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A004614 | AR | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fountains Infusion Center of Little Rock, LLC | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| Little Rock Infusion Services, LLC | Current | Accepting new patients | |
| Little Rock Infusion Services, LLC | Current | Accepting new patients | |
| Arkansas Heart Hospital Rural Health Services, LLC | Current | Accepting new patients | |
| Arkansas Heart Hospital, LLC | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| Arkansas Heart Hospital, LLC | Current | Accepting new patients |
Locations
4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278
4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278
7 Shackleford West Blvd
Little Rock, AR 72211
Phone (501) 614-3671
Organizations & group practices 8
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.
-
dba Fountains Infusion Center
- Infusion Therapy Clinic/Center
- Little Rock, AR
- NPI 1023747102
-
- Cardiovascular Disease Physician
- Little Rock, AR
- NPI 1548553811
-
dba Arkansas Heart Hospital Clinic
- Cardiovascular Disease Physician
- Little Rock, AR
- NPI 1558653212
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1588654016
-
dba Arkansas Heart Hospital Encore
- General Acute Care Hospital
- Bryant, AR
- NPI 1841898293
-
dba Vital Care of Little Rock
- Durable Medical Equipment & Medical Supplies
- Little Rock, AR
- NPI 1306695747
-
dba Vital Care of Little Rock
- Home Infusion Agency
- Little Rock, AR
- NPI 1366190084
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1023795051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664323200000",
"number": "1093174716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "VITAL CARE OF LITTLE ROCK",
"address_2": "15200 CHENAE PARKWAY SUITE 100",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "72211",
"telephone_number": "501-451-6080",
"fax_number": "501-451-6081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VITAL CARE OF LITTLE ROCK",
"address_2": "15200 CHENAE PARKWAY SUITE 100",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "72211",
"telephone_number": "501-451-6080",
"fax_number": "501-451-6081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "CALLIE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-23",
"last_updated": "2022-09-28",
"certification_date": "2022-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "AR",
"license": "A004614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.