Lindsey Jane Ponwith, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A03477 Issued in AR

Practice address

8114 Cantrell Rd Ste 201
Little Rock, AR 72227-2421

Phone

(501) 779-8554

Fax

(501) 222-8034

NPI assigned

Jan 28, 2011

Last updated

Sep 21, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Mrs. Lindsey Jane Prince Former name

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

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Revive Health and Wellness of Arkansas PLLCGroup PAC ID 9032599923, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Revive Health and Wellness of Arkansas, PLLC

  dba Revive Lifestyle Medicine

  • Family Nurse Practitioner
  • Little Rock, AR
  • NPI 1548935646
  Medicare reassignment Care Compare group NPD Authorized official
• Housecall

  • Family Nurse Practitioner
  • Little Rock, AR
  • NPI 1487008157
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1104122803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8114 CANTRELL RD STE 201",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722272504",
            "telephone_number": "501-779-8554",
            "fax_number": "888-300-9674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8114 CANTRELL RD STE 201",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722272421",
            "telephone_number": "501-779-8554",
            "fax_number": "501-222-8034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3920 E Flower St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850186432",
            "country_code": "US",
            "telephone_number": "501-580-6282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PONWITH",
        "first_name": "LINDSEY",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-28",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "282083",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A003477",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A03477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188129758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "PRINCE",
            "middle_name": "JANE",
            "prefix": "MRS.",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacob Michael Ponder, APRN
• Jacqueline Juliet Ponder
• Julia Ponder, DNP, FNP, AGACNP
• Regina Kay Pondexter Hunter, M.D.
• Lisa Culp Held Pontious, CNM, APRN
• Amari Perrie Poole
• Kimberly Melissa Poole, D. O.
• Christopher H Pope, MD
• David Norton Pope, MD
• Poplar Grove Operations LLC (The Green House Cottages of Poplar Grove)

• Family Nurse Practitioner in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; 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.

Verify at the official NPI Registry.