Individual provider Active NPI

Kamillah Karriem, QBHP

  • Social Worker
  • Sheridan, AR
National Provider Identifier
1205480951
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
201 S Rose St
Sheridan, AR 72150-2451
Phone
(870) 917-2171
Fax
(870) 917-2161
NPI assigned
Jul 31, 2019
Last updated
Jul 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU Primary

Addresses

Primary practice location

201 S Rose St
Sheridan, AR 72150-2451

Mailing address

201 S Rose St
Sheridan, AR 72150-2451
Phone (870) 917-2171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
BHC Pinnacle Pointe Hospital PastSince Aug 6, 2019 Accepting new patients
BHC Pinnacle Pointe Hospital LLC PastSince Aug 6, 2019 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1205480951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S ROSE ST",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "721502451",
            "telephone_number": "870-917-2171",
            "fax_number": "870-917-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S ROSE ST",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "721502451",
            "telephone_number": "870-917-2171",
            "fax_number": "870-917-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARRIEM",
        "first_name": "KAMILLAH",
        "credential": "QBHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, AR

Sources for this page

Verify at the official NPI Registry.