Individual provider Active NPI

Kirk A Coward, APN

  • Family Nurse Practitioner
  • Paragould, AR
National Provider Identifier
1356638290
Registry record updated Aug 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A03564 Issued in AR
Practice address
1000 W Kingshighway
Suite 12
Paragould, AR 72450-4141
Phone
(870) 236-6930
Fax
(870) 239-8065
NPI assigned
Jun 29, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2016

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 A03564 AR Primary

Addresses

Primary practice location

1000 W Kingshighway
Suite 12
Paragould, AR 72450-4141

Mailing address

1000 W. Kingshighway
Suite 12
Paragould, AR 72450-4038
Phone (870) 236-6930

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
I20110825000760 AR Practitioner - Nurse Practitioner 1658541875 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 W Kingshighway
Paragould, AR 72450-4197

1110 W Kingshighway
Paragould, AR 72450-4164
Phone (870) 205-2000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Bernards Physician Clinics Inc CurrentSince Apr 15, 2022 Accepting new patients
Arkansas Methodist Hospital Corporation Family CurrentSince May 1, 2023 Accepting new patients
Ammc Physician Services, Inc Past Accepting new patients

Locations

415 E Matthews Ave
Jonesboro, AR 72401

333 Red Wolf Blvd
Jonesboro, AR 72405
Phone (870) 933-1823

1001 W Parker Rd
Jonesboro, AR 72404
Phone (870) 336-1700

1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242

900 W Kingshighway
Paragould, AR 72450
Phone (870) 239-7000

1000 W Kingshighway
Ste 14
Paragould, AR 72450
Phone (870) 239-7103

1000 W Kingshwy
Ste 12
Paragould, AR 72450
Phone (870) 215-5424

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.

Hospital & facility affiliations 3

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": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470441600000",
    "number": "1356638290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W. KINGSHIGHWAY",
            "address_2": "SUITE 12",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504038",
            "telephone_number": "870-236-6930",
            "fax_number": "870-239-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W KINGSHIGHWAY",
            "address_2": "SUITE 12",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504141",
            "telephone_number": "870-236-6930",
            "fax_number": "870-239-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWARD",
        "first_name": "KIRK",
        "middle_name": "A",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-29",
        "last_updated": "2016-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A03564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

Verify at the official NPI Registry.