Individual provider Active NPI

Kourtney Elizabeth Moore, FNP

  • Family Nurse Practitioner
  • Bryant, AR
National Provider Identifier
1275485229
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
235972 Issued in AR
Practice address
3304 Commonwealth Dr
Bryant, AR 72022-7033
Phone
(501) 205-7020
Fax
(501) 205-7025
NPI assigned
Feb 12, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 235972 AR Primary

Addresses

Primary practice location

3304 Commonwealth Dr
Bryant, AR 72022-7033

Mailing address

73 Cimarron Cir
Cabot, AR 72023-8697
Phone (615) 988-2000

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

30 Burton Hills Blvd
Nashville, TN 37215-6164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
235972ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Team of Arkansas Physicians, LLC CurrentSince Jul 24, 2026 Accepting new patients
Urgent Team of Arkansas Physicians, LLC PastSince Jul 24, 2026 Accepting new patients

Locations

3304 Commonwealth Dr
Bryant, AR 72022
Phone (501) 205-7020

14524 Cantrell Rd
Ste 160
Little Rock, AR 72223
Phone (501) 482-3074

11402 W Markham St
Little Rock, AR 72211
Phone (501) 425-7564

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.

NPI Registry JSON

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

{
    "created_epoch": "1770854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1275485229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 CIMARRON CIR",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720238697",
            "telephone_number": "615-988-2000",
            "fax_number": "615-296-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3304 COMMONWEALTH DR",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720227033",
            "telephone_number": "501-205-7020",
            "fax_number": "501-205-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KOURTNEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-12",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "235972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryant, AR

Sources for this page

Verify at the official NPI Registry.