Individual provider Active NPI

Kari Anne Little, FNP

  • Family Nurse Practitioner
  • Lebanon, MO
National Provider Identifier
1336783265
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019036873 Issued in MO
Practice address
120 Hospital Dr Ste 250
Lebanon, MO 65536-9230
Phone
(417) 533-6717
NPI assigned
Nov 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2019036873 MO Primary

Addresses

Primary practice location

120 Hospital Dr Ste 250
Lebanon, MO 65536-9230

Mailing address

120 Hospital Dr Ste 250
Lebanon, MO 65536-9230
Phone (417) 533-6717

Other practice location 1

226 E US Highway 54
Camdenton, MO 65020-6819
Phone (573) 873-2521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20191205001692 MO Practitioner - Nurse Practitioner 0143653162 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Regional Health SystemGroup PAC ID 9133026776, 132 clinicians

Practice addresses (Care Compare)

514 W Fremont Rd
Lebanon South Nursing and Rehab
Lebanon, MO 65536-4244
Phone (417) 582-5351

596 Morton Rd
Lebanon, MO 65536-3648
Phone (417) 532-9173

755 Cowan Dr
Lebanon, MO 65536-4629
Phone (417) 532-2805

Hospital & facility affiliations

  • Lake Regional Health System Hospital, Osage Beach, MO, CCN 260186

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019036873MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Regional Health System Current Accepting new patients
Lake Regional Health System CurrentSince Dec 1, 2020 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Dec 2, 2019 Accepting new patients
Lake Regional Health System CurrentSince Dec 1, 2020 Accepting new patients

Locations

226 E US Highway 54
Camdenton, MO 65020
Phone (573) 346-3700

120 Hospital Dr
Ste 250
Lebanon, MO 65536
Phone (417) 533-6710

755 Cowan Dr
Lebanon, MO 65536
Phone (417) 532-2805

1057 Medical Park Dr
Osage Beach, MO 65065
Phone (573) 302-3100

54 Hospital Dr
Osage Beach, MO 65065
Phone (573) 280-2772

Interoperability endpoints

  • Direct secure messaging: lakeregionaleclebanon@mhccaremail.com
  • Direct secure messaging: kariannelittle@mhccaremail.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 2

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": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1336783265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HOSPITAL DR STE 250",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655369230",
            "telephone_number": "417-533-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HOSPITAL DR STE 250",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655369230",
            "telephone_number": "417-533-6717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "226 E US Highway 54",
            "address_purpose": "LOCATION",
            "city": "Camdenton",
            "state": "MO",
            "postal_code": "650206819",
            "country_code": "US",
            "telephone_number": "573-873-2521",
            "fax_number": "573-346-0053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "KARI",
        "middle_name": "ANNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019036873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, MO

Sources for this page

Verify at the official NPI Registry.