Individual provider Active NPI

Kaitlen Faith Stewart

  • Family Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1134614928
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A005698 Issued in AR
Practice address
11524 N Rodney Parham Rd Ste 8
Little Rock, AR 72212-4169
Phone
(501) 954-7822
NPI assigned
Jun 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X A005698 AR Primary

Addresses

Primary practice location

11524 N Rodney Parham Rd Ste 8
Little Rock, AR 72212-4169

Mailing address

11524 N Rodney Parham Rd Ste 8
Little Rock, AR 72212-4169
Phone (501) 954-7822

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181128001130 AR Practitioner - Nurse Practitioner 3779827043 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sadiq and Rainosek PLLCGroup PAC ID 7810371721, 4 clinicians
Hospital MedicineGroup PAC ID 8123304367, 11 clinicians

Practice addresses (Care Compare)

8701 Riley Dr
Little Rock, AR 72205-6509
Phone (501) 319-5035

9601 Baptist Health Dr
Little Rock, AR 72205-6321
Phone (501) 319-5035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sadiq and Rainosek PLLC Single Specialty CurrentSince Aug 1, 2022 Accepting new patients

Locations

8701 Riley Dr
Little Rock, AR 72205
Phone (501) 224-2700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1134614928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11524 N RODNEY PARHAM RD STE 8",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722124169",
            "telephone_number": "501-954-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11524 N RODNEY PARHAM RD STE 8",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722124169",
            "telephone_number": "501-954-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "KAITLEN",
        "middle_name": "FAITH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.