Active NPI
Kristen Lee Raines, APN, FNP-BC
- Family Nurse Practitioner
- Little Rock, AR
National Provider Identifier
1396989646
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Jul 20, 2020.
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ATP-000213
- Practice address
- 10301 Kanis Rd
Little Rock, AR 72205-6205 - Phone
- (501) 604-6900
- Fax
- (501) 604-3683
- NPI assigned
- Apr 29, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ATP-000213 | 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
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ATP-000213 | AR | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240963200000",
"number": "1396989646",
"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": "501-604-3683"
},
{
"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": "501-604-3683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAINES",
"first_name": "KRISTEN",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "APN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-29",
"last_updated": "2009-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "ATP-000213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.