Individual provider Active NPI

Lauren Dymna, APRN

  • Physical Medicine & Rehabilitation Physician
  • Little Rock, AR
National Provider Identifier
1326490798
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A004795 Issued in AR
Practice address
10301 Kanis Rd
Little Rock, AR 72205-6205
Phone
(501) 604-6900
Fax
(501) 604-6941
NPI assigned
Jul 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A004795 AR
Physical Medicine & Rehabilitation Physician 208100000X A004795 AR Primary

Addresses

Primary practice location

10301 Kanis Rd
Little Rock, AR 72205-6205

Mailing address

10301 Kanis Rd
Little Rock, AR 72205-6205
Phone (501) 604-6900

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
I20161010000306 AR Practitioner - Nurse Practitioner 3678861564 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ih Physician Services 2 PCGroup PAC ID 6800388927, 7 clinicians
Advanced Spine and Pain Centers IncGroup PAC ID 0547494189, 3 clinicians

Practice addresses (Care Compare)

Little Rock, AR 72205
Phone (501) 435-1043

11220 Executive Ctr Dr
Suite 200
Little Rock, AR 72211-4492
Phone (501) 219-1114

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Spine and Pain Centers, Inc. CurrentSince Aug 18, 2021 Accepting new patients
Arkansas Pain Centers LTD CurrentSince Apr 1, 2021 Accepting new patients
Advanced Spine and Pain Centers Inc CurrentSince Aug 18, 2021 Accepting new patients
Arkansas Pain Centers, LTD CurrentSince Apr 1, 2021 Accepting new patients

Locations

410 Denison St
Conway, AR 72034
Phone (501) 219-1114

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

9800 Baptist Health Dr
Ste 660
Little Rock, AR 72205
Phone (501) 219-1114

11001 Executive Center Dr
Little Rock, AR 72211
Phone (501) 812-7215

11220 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 219-1114

308 Smokey Ln
North Little Rock, AR 72117
Phone (501) 255-2512

Interoperability endpoints

  • Direct secure messaging: lauren.dymna@1494.securemail.prognocis.com

Organizations & group practices 5

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 1

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": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1326490798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 KANIS RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056205",
            "telephone_number": "501-604-6900",
            "fax_number": "501-604-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 KANIS RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056205",
            "telephone_number": "501-604-6900",
            "fax_number": "501-604-6941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYMNA",
        "first_name": "LAUREN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004795",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AR",
            "license": "A004795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.