Individual provider Active NPI

Elizabeth Kingkytisack, RN

  • Community Health Registered Nurse
  • Little Rock, AR
National Provider Identifier
1205763901
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
224223 Issued in AR
Practice address
15400 Chenal Pkwy Ste 100
Little Rock, AR 72211-2297
Phone
(501) 708-4320
Fax
(501) 708-4315
NPI assigned
May 6, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 224223 AR Primary

Addresses

Primary practice location

15400 Chenal Pkwy Ste 100
Little Rock, AR 72211-2297

Mailing address

15400 Chenal Pkwy Ste 100
Little Rock, AR 72211-2297
Phone (501) 708-4320

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
224223ARMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1778025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1205763901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15400 CHENAL PKWY STE 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112297",
            "telephone_number": "501-708-4320",
            "fax_number": "501-708-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15400 CHENAL PKWY STE 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112297",
            "telephone_number": "501-708-4320",
            "fax_number": "501-708-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGKYTISACK",
        "first_name": "ELIZABETH",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-06",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "AR",
            "license": "224223",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.