Active NPI
Kathleen M Maples, APN
- Nurse Practitioner
- West Memphis, AR
National Provider Identifier
1245307586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- A02928
- Practice address
- 200 W Tyler Ave
West Memphis, AR 72301-4223 - Phone
- (501) 658-2718
- Fax
- (501) 724-3305
- NPI assigned
- Nov 30, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A02928 | AR | Primary |
Addresses
Primary practice location
200 W Tyler Ave
West Memphis, AR 72301-4223
Mailing address
485 Hwy 124
PO Box 153
Pangburn, AR 72121
Phone (501) 658-2718
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164961758 | Medicaid | AR |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080204000207 | AR | Practitioner - Nurse Practitioner | 5799872685 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White County Medical Center | Current | Accepting new patients | |
| White County Medical Center | Current | Accepting new patients | |
| White County Medical Center | Current | Accepting new patients | |
| Tennessee Emergency Physicians, PLLC | Past | Accepting new patients | |
| White River Rural Health Center, Inc. | Past | Accepting new patients | |
| Tyler Emergency Physicians | Past | Accepting new patients | |
| Arcare | Past | Accepting new patients | |
| White River Rural Health Center, Inc. | Past | Accepting new patients |
Locations
2725 Highway 25B
Heber Springs, AR 72543
Phone (501) 362-5800
3214 E Race Ave
Searcy, AR 72143
Phone (501) 268-6121
2902 E Race Ave
Searcy, AR 72143
Phone (501) 236-0225
2900 Hawkins Dr
Searcy, AR 72143
Phone (501) 278-2800
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 8
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.
-
- Primary Care Clinic/Center
- Beebe, AR
- NPI 1497174858
-
- Obstetrics & Gynecology Physician
- Newport, AR
- NPI 1740940220
-
- Federally Qualified Health Center (FQHC)
- Jacksonville, AR
- NPI 1821802729
-
- Emergency Medicine Physician
- West Memphis, AR
- NPI 1669416384
-
- Durable Medical Equipment & Medical Supplies
- Cotton Plant, AR
- NPI 1194930941
-
- Durable Medical Equipment & Medical Supplies
- Parkin, AR
- NPI 1407061237
-
- Emergency Medicine Physician
- Memphis, TN
- NPI 1790919041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244764800000",
"number": "1245307586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "485 HWY 124",
"address_2": "PO BOX 153",
"city": "PANGBURN",
"state": "AR",
"postal_code": "72121",
"telephone_number": "501-658-2718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W TYLER AVE",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723014223",
"telephone_number": "501-658-2718",
"fax_number": "501-724-3305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAPLES",
"first_name": "KATHLEEN",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2009-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AR",
"license": "A02928",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "164961758",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Memphis, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.