Active NPI
Kristy Clinton Cowherd, MD
- Family Medicine Physician
- Heber Springs, AR
National Provider Identifier
1326086323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E2384
- Practice address
- 20 Baptist Health Dr
Heber Springs, AR 72543-8765 - Phone
- (501) 362-0500
- Fax
- (501) 362-0501
- NPI assigned
- Jun 2, 2006
- Last updated
- Oct 24, 2016
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E2384 | AR | Primary |
Addresses
Primary practice location
20 Baptist Health Dr
Heber Springs, AR 72543-8765
Mailing address
PO Box 1678
Heber Springs, AR 72543-1678
Phone (501) 362-0500
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139303001 | Medicaid | AR | |
| AP006004 | Other | AR | HUMANA NUMBER |
| 18871000000 | Other | AR | QUALCHOICE NUMBER |
| 5L376 | Other | AR | BCBS NUMBER |
| P00017020 | Other | AR | RAILROAD MEDICARE NUMBER |
| 1670438003 | Other | AR | CIGNA NUMBER |
| 731667341-72543-A002 | Other | AR | TRICARE NUMBER |
| 7357320 | Other | AR | AETNA NUMBER |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E2384 | AR | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477267200000",
"number": "1326086323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1678",
"city": "HEBER SPRINGS",
"state": "AR",
"postal_code": "725431678",
"telephone_number": "501-362-0500",
"fax_number": "501-362-0501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 BAPTIST HEALTH DR",
"city": "HEBER SPRINGS",
"state": "AR",
"postal_code": "725438765",
"telephone_number": "501-362-0500",
"fax_number": "501-362-0501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COWHERD",
"first_name": "KRISTY",
"middle_name": "CLINTON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2016-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E2384",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139303001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA NUMBER",
"identifier": "AP006004",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE NUMBER",
"identifier": "18871000000",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NUMBER",
"identifier": "5L376",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE NUMBER",
"identifier": "P00017020",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA NUMBER",
"identifier": "1670438003",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE NUMBER",
"identifier": "731667341-72543-A002",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA NUMBER",
"identifier": "7357320",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Heber Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.