Individual provider Active NPI

Kristyn Lambert, APRN

  • Family Nurse Practitioner
  • Malvern, AR
National Provider Identifier
1326425919
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
123577 Issued in AR
Practice address
1002 Schneider Dr Ste 104
Malvern, AR 72104-4823
Phone
(501) 337-9994
NPI assigned
May 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X R88701 AR
Family Nurse Practitioner 363LF0000X 123577 AR Primary

Addresses

Primary practice location

1002 Schneider Dr Ste 104
Malvern, AR 72104-4823

Mailing address

6801 Military Rd
Malvern, AR 72104-7343
Phone (870) 816-8274

Other practice location 1

424 Savannah Rd
Lewes, DE 19958-1462
Phone (302) 645-3300

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
I20200218000103 AR Practitioner - Nurse Practitioner 7618304460 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R88701ARMDCritical Care Medicine Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Shane Higginbotham MD PA CurrentSince Jan 30, 2020 Accepting new patients
Covenant Health LLC CurrentSince Jan 28, 2022 Accepting new patients
Arkansas Family Medicine PA CurrentSince Sep 6, 2024 Accepting new patients

Locations

5905 R St
Little Rock, AR 72207
Phone (501) 663-9415

15400 Chenal Pkwy
Ste 130
Little Rock, AR 72211
Phone (501) 725-7919

1002 Schneider Dr
Ste 104
Malvern, AR 72104
Phone (501) 337-9066

1580 Tanner St
Rockport, AR 72104
Phone (501) 337-9994

Interoperability endpoints

  • Direct secure messaging: kristyn.lambert.1@17584.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/17584/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1430611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1326425919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 MILITARY RD",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721047343",
            "telephone_number": "870-816-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 SCHNEIDER DR STE 104",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721044823",
            "telephone_number": "501-337-9994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "424 Savannah Rd",
            "address_purpose": "LOCATION",
            "city": "Lewes",
            "state": "DE",
            "postal_code": "199581462",
            "country_code": "US",
            "telephone_number": "302-645-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMBERT",
        "first_name": "KRISTYN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-03",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "AR",
            "license": "R88701",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "123577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, AR

Sources for this page

Verify at the official NPI Registry.