Individual provider Active NPI

Kathryn I Parker, M.D.

  • Internal Medicine Physician
  • Dardanelle, AR
National Provider Identifier
1285087429
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E-14160 Issued in AR
Practice address
200 N 3Rd St Ste 1
Dardanelle, AR 72834-3802
Phone
(479) 229-6191
Fax
(479) 229-6194
NPI assigned
Jul 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E-14160 AR Primary

Addresses

Primary practice location

200 N 3Rd St Ste 1
Dardanelle, AR 72834-3802

Mailing address

200 N 3Rd St Ste 1
Dardanelle, AR 72834-3802
Phone (479) 229-6191

Other practice location 1

108 Skyline Dr
Russellville, AR 72801-3362
Phone (479) 968-2345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190708000596 MO Practitioner - Internal Medicine 2466728530 Reassigns benefits to 1 organization
I20210615001425 AR Practitioner - Internal Medicine 2466728530 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Arkansas College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dardanelle Regional LLC 8 clinicians

Practice addresses (Care Compare)

200 N 3Rd St
Dardanelle, AR 72834-3802

Hospital & facility affiliations

  • Gentiva Hospice, Russellville, AR, CCN 041528
  • Dardanelle Regional Medical Center Hospital, Dardanelle, AR, CCN 041302
  • St Marys Regional Medical Center Hospital, Russellville, AR, CCN 040041
  • Conway Regional Medical Center, Inc Hospital, Conway, AR, CCN 040029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Regional Medical Center, Inc CurrentSince Nov 30, 2024 Accepting new patients
Dardanelle Regional, LLC CurrentSince Nov 1, 2025 Accepting new patients
St Mary'S Physician Services LLC Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Mercy Clinic East Communities Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
Conway Regional Medical Center Inc Current Accepting new patients
Dardanelle Regional, LLC CurrentSince Nov 1, 2025 Accepting new patients
Conway Regional Medical Center Inc Internal Medicine CurrentSince Nov 30, 2024 Accepting new patients
Dardanelle Regional, LLC CurrentSince Sep 1, 2024 Accepting new patients
St Marys Physician Services, LLC CurrentSince Jul 1, 2021 Accepting new patients
Dardanelle Regional, LLC CurrentSince Nov 1, 2025 Accepting new patients
St Marys Physician Services, LLC Past Accepting new patients

Locations

437 Denison St
Ste 2
Conway, AR 72034
Phone (501) 504-2330

200 N 3rd St
Ste 1
Dardanelle, AR 72834
Phone (479) 229-6191

200 N 3rd St
Dardanelle, AR 72834
Phone (479) 229-2827

108 Skyline Dr
Russellville, AR 72801
Phone (479) 968-7170

101 Skyline Dr
Russellville, AR 72801
Phone (479) 968-2345

1000 Des Peres Rd
Ste 300
Saint Louis, MO 63131
Phone (314) 919-2600

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

Organizations & group practices 11

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 9

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": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1285087429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N 3RD ST STE 1",
            "city": "DARDANELLE",
            "state": "AR",
            "postal_code": "728343802",
            "telephone_number": "479-229-6191",
            "fax_number": "479-229-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N 3RD ST STE 1",
            "city": "DARDANELLE",
            "state": "AR",
            "postal_code": "728343802",
            "telephone_number": "479-229-6191",
            "fax_number": "479-229-6194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Skyline Dr",
            "address_purpose": "LOCATION",
            "city": "Russellville",
            "state": "AR",
            "postal_code": "728013362",
            "country_code": "US",
            "telephone_number": "479-968-2345",
            "fax_number": "479-968-7607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "KATHRYN",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-22",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-14160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dardanelle, AR

Sources for this page

Verify at the official NPI Registry.