Kaitlyn Nicole Hawkins

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

121356 Issued in AR

Practice address

6601 Phoenix Ave Ste B
Fort Smith, AR 72903-5092

Phone

(479) 785-9091

NPI assigned

Dec 17, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• University of Arkansas for Medical Sciences

  • Pediatrics Physician
  • Little Rock, AR
  • NPI 1346230968
  NPD (past)
• University of Arkansas for Medical Sciences

  • Internal Medicine Physician
  • Little Rock, AR
  • NPI 1588654016
  NPD (past)

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1114734720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13630 ROCKY RIDGE RD",
            "city": "BOONEVILLE",
            "state": "AR",
            "postal_code": "729276029",
            "telephone_number": "479-806-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 PHOENIX AVE STE B",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035092",
            "telephone_number": "479-785-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "KAITLYN",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-17",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "121356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Hatcher, MHPP
• Ranata L Hatcher, APN
• Rachel Michelle Hatfield, MS, LPC, LMFT, RPT
• Teddi Haughey
• Hussam Hawamdeh, MD
• Gary Allen Hawthorne, D.M.D.
• Logan Hawthorne
• Veronica Haydon, LPC
• Jana Kaye Hayes, M.S., CCC-SLP
• Kearston Nacol Hayes

• Registered Nurse in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Registered Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.