Active NPI
Nancy Kahn, MD
- Family Medicine Physician
- Little Rock, AR
National Provider Identifier
1174587463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E-1730
- Practice address
- 2500 E 6TH St
Little Rock, AR 72202-3008 - Phone
- (501) 552-4710
- Fax
- (501) 376-2084
- NPI assigned
- Apr 13, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E-1730 | AR | Primary |
Addresses
Primary practice location
2500 E 6TH St
Little Rock, AR 72202-3008
Mailing address
2215 Wildwood Ave
Carol Vick/Administration
Sherwood, AR 72120-5089
Phone (501) 552-7399
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134258001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-1730 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Urgent Care Associates, LLC | Past | Accepting new patients | |
| Arkansas Health Group | Family Medicine | Past | Accepting new patients |
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.
-
- Urgent Care Clinic/Center
- Nashville, TN
- NPI 1548258825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356048000000",
"number": "1174587463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2215 WILDWOOD AVE",
"address_2": "CAROL VICK/ADMINISTRATION",
"city": "SHERWOOD",
"state": "AR",
"postal_code": "721205089",
"telephone_number": "501-552-7399",
"fax_number": "501-552-8530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 E 6TH ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722023008",
"telephone_number": "501-552-4710",
"fax_number": "501-376-2084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHN",
"first_name": "NANCY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-13",
"last_updated": "2012-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E-1730",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "134258001",
"state": "AR"
}
],
"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 Dec 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.