Individual provider Active NPI

Kira Marie Earnest, APRN

  • Gerontology Nurse Practitioner
  • Rison, AR
National Provider Identifier
1356157481
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
230520 Issued in AR
Practice address
217 N Main St
Rison, AR 71665-8856
Phone
(870) 856-1202
Fax
(866) 500-4279
NPI assigned
Dec 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 230520 AR Primary

Addresses

Primary practice location

217 N Main St
Rison, AR 71665-8856

Mailing address

217 N Main St
Rison, AR 71665-8856
Phone (870) 856-1202

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
I20250102002293 AR Practitioner - Nurse Practitioner 7618404658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Medical Clinic Arkansas LTC LLC 141 clinicians

Practice addresses (Care Compare)

1308 E Page Ave
Malvern, AR 72104-4518
Phone (501) 337-9820

Hospital & facility affiliations

  • Bradley County Medical Center Hospital, Warren, AR, CCN 041327

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
230520ARMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Medical Clinic Arkansas LTC LLC CurrentSince Dec 13, 2024 Accepting new patients
Access Medical Clinic Arkansas LLC Current Accepting new patients
Access Medical Clinic Arkansas LTC LLC CurrentSince Dec 13, 2024 Accepting new patients
Access Medical Clinic Arkansas LLC CurrentSince Dec 13, 2024 Accepting new patients
Access Medical Clinic Arkansas LLC CurrentSince Dec 13, 2024 Accepting new patients

Locations

16723 Highway 62
Garfield, AR 72732
Phone (870) 219-7706

4196 Highway 62 412
#A
Hardy, AR 72542
Phone (870) 856-2100

405 W 16th St
Hope, AR 71801
Phone (870) 777-0007

1308 E Page Ave
Malvern, AR 72104
Phone (501) 337-9820

106 N Van Buren St
Weiner, AR 72479
Phone (870) 605-0014

Interoperability endpoints

  • Direct secure messaging: kira.earnest.1@29938.direct.athenahealth.com
  • Direct secure messaging: kira.earnest.1@15024.direct.athenahealth.com

Organizations & group practices 12

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": "1733270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1356157481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 N MAIN ST",
            "city": "RISON",
            "state": "AR",
            "postal_code": "716658856",
            "telephone_number": "870-856-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N MAIN ST",
            "city": "RISON",
            "state": "AR",
            "postal_code": "716658856",
            "telephone_number": "870-856-1202",
            "fax_number": "866-500-4279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARNEST",
        "first_name": "KIRA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AR",
            "license": "230520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rison, AR

Sources for this page

Verify at the official NPI Registry.