Kristi Renee Allen, A.N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

A01254 Issued in AR

Practice address

102 W Broad St
Lepanto, AR 72354-2200

Phone

(870) 475-2977

Fax

(870) 475-3440

NPI assigned

Mar 1, 2006

Last updated

May 26, 2021By 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 1

Addresses

Other identifiers 1

Electronic endpoints 1

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Arkansas Family Health Center, IncGroup PAC ID 1052390390, shared by 12 NPIs, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elite Home Health Home health agency, Marion, AR, CCN 047122
• St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020

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.

• East Arkansas Family Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • West Memphis, AR
  • NPI 1871599613
  Medicare reassignment NPD
• East Arkansas Family Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Lepanto, AR
  • NPI 1922139062
  Medicare reassignment NPD
• East Arkansas Family Health Center, Inc

  dba East Arkansas Family Health Center South

  • Federally Qualified Health Center (FQHC)
  • West Memphis, AR
  • NPI 1033997275
  NPD
• East Arkansas Family Health Center, Inc

  dba East Arkansas Family Health Center-Marvell

  • Federally Qualified Health Center (FQHC)
  • Marvell, AR
  • NPI 1508379249
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Arkansas Home Health Providers-III, LLC

  dba Elite Home Health

  • Home Health Agency
  • Marion, AR
  • NPI 1306247770
  Care Compare affiliation
• St Bernards Hospital Inc

  dba St Bernards Medical Center

  • General Acute Care Hospital
  • Jonesboro, AR
  • NPI 1922043686
  Care Compare affiliation

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1114994035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W BROAD ST",
            "city": "LEPANTO",
            "state": "AR",
            "postal_code": "723542200",
            "telephone_number": "870-475-2977",
            "fax_number": "870-475-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W BROAD ST",
            "city": "LEPANTO",
            "state": "AR",
            "postal_code": "723542200",
            "telephone_number": "870-475-2977",
            "fax_number": "870-475-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "KRISTI",
        "middle_name": "RENEE",
        "credential": "A.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A01254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135451758",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristi.allen@eastarkan.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "102 W Broad St",
            "city": "Lepanto",
            "state": "AR",
            "country_code": "US",
            "postal_code": "723542200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cynthia Landry DDS (Landry Family Dentistry)
• Doctors Health Group, Inc (Family Medical Clinic)
• East Arkansas Family Health Center
• East Arkansas Family Health Center Inc. (East Arkansas Family Health Center Pharmacy)
• East Arkansas Family Health Center Inc.

• Nurse Practitioner in Lepanto, AR
• Providers in Lepanto, AR by specialty
• Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.