Individual provider Active NPI

Karen J Reinertsen, M.D.

  • Psychiatry Physician
  • Paragould, AR
National Provider Identifier
1336141902
Registry record updated Mar 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
E-6966 Issued in AR
Practice address
28 Southpointe Dr
Paragould, AR 72450-6238
Phone
(870) 239-2244
Fax
(870) 236-1616
NPI assigned
Aug 12, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 16594 NE
Psychiatry Physician 2084P0800X E-6966 AR Primary

Addresses

Primary practice location

28 Southpointe Dr
Paragould, AR 72450-6238

Mailing address

2707 Browns LN
Jonesboro, AR 72401-7213
Phone (870) 972-4939

Other practice location 1

701 Arkansas Blvd
Texarkana, AR 71854-2105
Phone (870) 772-5028

Other identifiers 4

IdentifierTypeStateIssuer
5AJ66G677OtherARMEDICARE
03825OtherNEBLUE CROSS BLUE SHIELD NE
5H936OtherARBLUE CROSS AR
186894001MedicaidAR

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16594NEMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Arisa Health, Inc. CurrentSince Aug 9, 2023 Accepting new patients
Arisa Health, Inc. Psychiatry CurrentSince Aug 9, 2023 Accepting new patients

Locations

2707 Browns Ln
Jonesboro, AR 72401
Phone (870) 972-4000

28 Southpointe Dr
Paragould, AR 72450
Phone (870) 239-2244

2400 S 48th St
Springdale, AR 72762
Phone (479) 725-5115

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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552780800000",
    "number": "1336141902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 BROWNS LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017213",
            "telephone_number": "870-972-4939",
            "fax_number": "870-972-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 SOUTHPOINTE DR",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724506238",
            "telephone_number": "870-239-2244",
            "fax_number": "870-236-1616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Arkansas Blvd",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "AR",
            "postal_code": "718542105",
            "country_code": "US",
            "telephone_number": "870-772-5028",
            "fax_number": "870-772-2138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REINERTSEN",
        "first_name": "KAREN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2019-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NE",
            "license": "16594",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E-6966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "5AJ66G677",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NE",
            "identifier": "03825",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AR",
            "identifier": "5H936",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186894001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

Verify at the official NPI Registry.