Individual provider Active NPI

Kristi Marie Kindrick, M.D.

  • Psychiatry Physician
  • Fort Smith, AR
National Provider Identifier
1194969584
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
E7878 Issued in AR
Practice address
7217 Cameron Park Dr
Fort Smith, AR 72903-6167
Phone
(479) 831-6007
Fax
(479) 782-1242
NPI assigned
Apr 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 60649 AZ
Psychiatry Physician 2084P0800X E7878 AR Primary

Addresses

Primary practice location

7217 Cameron Park Dr
Fort Smith, AR 72903-6167

Mailing address

1001 Towson Ave
Fort Smith, AR 72901-4921
Phone (479) 441-5801

Other practice location 1

3111 S 70th St
Fort Smith, AR 72903-5017
Phone (479) 452-6650

Other practice location 2

7201 E 31st Pl
Yuma, AZ 85365-8394
Phone (928) 336-5660

Other identifiers 1

IdentifierTypeStateIssuer
199257001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130919000064 AR Practitioner - Psychiatry 3779727441 Reassigns benefits to 2 organizations
I20200609002550 AZ Practitioner - Psychiatry 3779727441 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

625 N 13TH
St Johns, AZ 85936-1019
Phone (928) 337-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E7878ARMDPsychiatry Physician
60649AZMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Healthcare Medical Associates Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Texarkana Behavioral Associates, L.C. CurrentSince Jul 15, 2013 Accepting new patients
Yuma Regional Medical Center CurrentSince Feb 11, 2023 Accepting new patients
Summit Healthcare Medical Associates CurrentSince Jul 1, 2020 Accepting new patients
Center for Psychiatric Wellness, PLLC. Psychiatry CurrentSince Sep 2, 2015 Accepting new patients
Texarkana Behavioral Associates, L.C. CurrentSince Jul 15, 2013 Accepting new patients
Summit Healthcare Association Past Accepting new patients

Locations

10301 Mayo Dr
Barling, AR 72923
Phone (479) 494-5760

815 Fort St
Ste A
Barling, AR 72923
Phone (479) 494-5740

4253 N Crossover Rd
Fayetteville, AR 72703
Phone (479) 443-6496

7217 Cameron Park Dr
Fort Smith, AR 72903
Phone (479) 434-3544

2051 Evergreen Ln
Ste B
Show Low, AZ 85901
Phone (928) 537-1042

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1194969584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 TOWSON AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014921",
            "telephone_number": "479-441-5801",
            "fax_number": "479-441-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7217 CAMERON PARK DR",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729036167",
            "telephone_number": "479-831-6007",
            "fax_number": "479-782-1242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3111 S 70th St",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729035017",
            "country_code": "US",
            "telephone_number": "479-452-6650",
            "fax_number": "479-452-5847",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7201 E 31st Pl",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853658394",
            "country_code": "US",
            "telephone_number": "928-336-5660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINDRICK",
        "first_name": "KRISTI",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-29",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "60649",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E7878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199257001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.