Kristin Skeesick Saddler

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2104010 Issued in AR

Practice address

1955 W Truckers Dr
Fayetteville, AR 72704-5637

Phone

(479) 973-6000

NPI assigned

Dec 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1417544362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10371 LORENA DR",
            "city": "CEDARVILLE",
            "state": "AR",
            "postal_code": "729329492",
            "telephone_number": "318-518-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 W TRUCKERS DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727045637",
            "telephone_number": "479-973-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10371 Lorena Dr",
            "address_purpose": "LOCATION",
            "city": "Cedarville",
            "state": "AR",
            "postal_code": "729329492",
            "country_code": "US",
            "telephone_number": "318-518-2517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SADDLER",
        "first_name": "KRISTIN",
        "middle_name": "SKEESICK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-27",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AR",
            "license": "2104010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.