Individual provider Active NPI

Kristen Irene Woods, NP

  • Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1215401955
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A006045 Issued in AR
Practice address
12120 Colonel Glenn Rd Ste 10000
Little Rock, AR 72210-2849
Phone
(337) 991-9276
Fax
(337) 943-0846
NPI assigned
Jan 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A006045 AR Primary

Addresses

Primary practice location

12120 Colonel Glenn Rd Ste 10000
Little Rock, AR 72210-2849

Mailing address

1509 Dulles Dr
Lafayette, LA 70506-3718
Phone (337) 991-9276

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
I20190329000896 AR Practitioner - Nurse Practitioner 2668712639 Reassigns benefits to 1 organization

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
Quality Healthcare Resources LLCGroup PAC ID 0345305876, 29 clinicians

Practice addresses (Care Compare)

2200 S Bowman Rd
Suite a
Little Rock, AR 72211-4136
Phone (501) 558-4111

Hospital & facility affiliations

  • Center Well Home Health Home health agency, Hot Springs, AR, CCN 047105
  • Stat Home Health - Cenark, LLC Home health agency, Little Rock, AR, CCN 047117
  • Elite Home Health Home health agency, Hot Springs, AR, CCN 047151
  • CHI St Vincent Hot Springs Health at Home Home health agency, Hot Springs National, AR, CCN 047006
  • CHI St. Vincent Hospital Hot Springs Hospital, Hot Springs, AR, CCN 040026
  • National Park Medical Center Hospital, Hot Springs, AR, CCN 040078

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A006045ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Healthcare Resources LLC CurrentSince Feb 6, 2019 Accepting new patients
Hot Springs MRI Center PastSince Jun 15, 2019 Accepting new patients

Locations

2200 S Bowman Rd
Ste A
Little Rock, AR 72211
Phone (501) 558-4100

12120 Colonel Glenn Rd
Ste 10000
Little Rock, AR 72210
Phone (501) 558-4100

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.

Hospital & facility affiliations 11

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": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1215401955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 DULLES DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063718",
            "telephone_number": "337-991-9276",
            "fax_number": "337-943-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12120 COLONEL GLENN RD STE 10000",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722102849",
            "telephone_number": "337-991-9276",
            "fax_number": "337-943-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "KRISTEN",
        "middle_name": "IRENE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A006045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.