Active NPI
Kristen Coffman, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- ATP-001331
- Practice address
- 400 Hardin Rd Ste 150
Little Rock, AR 72211-3507 - Phone
- (501) 603-2147
- Fax
- (501) 603-0204
- NPI assigned
- Jul 10, 2018
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | ATP-001331 | AR | Primary |
Addresses
Primary practice location
400 Hardin Rd Ste 150
Little Rock, AR 72211-3507
Mailing address
400 Hardin Rd Ste 150
Little Rock, AR 72211-3507
Phone (501) 603-2147
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, 2018
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1857 Rice St
Waldron, AR 72958-7724
Phone (479) 637-2468
3109 S 70TH St
Fort Smith, AR 72903-5017
Phone (479) 452-9490
3111 S 70TH St
Fort Smith, AR 72903-5017
Phone (479) 452-6650
3113 S 70TH St
Fort Smith, AR 72903-5017
Phone (479) 478-6664
3117 S 70TH St
The Guidance Center Primary Care
Fort Smith, AR 72903-5017
Phone (479) 785-9400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ATP-001331 | AR | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Arkansas Counseling & Guidance Center, Inc | Current | Accepting new patients | |
| The Guidance Center - Whole Health | Psychiatric/Mental Health | Current | Accepting new patients |
| Valley Behavioral Health System LLC | Current | Accepting new patients | |
| Valley Behavioral Health System, LLC | Current | Accepting new patients | |
| The Guidance Center - Mena Clinic | Current | Accepting new patients |
Locations
10301 Mayo Dr
Barling, AR 72923
Phone (479) 494-5760
3113 S 70th St
Fort Smith, AR 72903
Phone (479) 478-6664
3111 S 70th St
Fort Smith, AR 72903
1857 Rice St
Waldron, AR 72958
Phone (479) 637-2468
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Fort Smith, AR
- NPI 1326040692
-
- Psychiatry Physician
- Barling, AR
- NPI 1528325651
-
- Community/Behavioral Health Agency
- Mena, AR
- NPI 1356516579
-
- Family Medicine Physician
- Fort Smith, AR
- NPI 1730787037
Psychiatric/Mental Health
-
- Psychiatric Hospital
- Barling, AR
- NPI 1982961439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531180800000",
"number": "1104312420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 HARDIN RD STE 150",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722113507",
"telephone_number": "501-603-2147",
"fax_number": "501-603-0204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 HARDIN RD STE 150",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722113507",
"telephone_number": "501-603-2147",
"fax_number": "501-603-0204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COFFMAN",
"first_name": "KRISTEN",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-10",
"last_updated": "2018-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AR",
"license": "ATP-001331",
"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 Jul 10, 2018; 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.