Individual provider Active NPI

Kelly Dunaway, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Fayetteville, AR
National Provider Identifier
1427844752
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
232506 Issued in AR
Practice address
4125 E Mission Blvd
Fayetteville, AR 72703-4388
Phone
(479) 485-3322
NPI assigned
Apr 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 232506 AR Primary

Addresses

Primary practice location

4125 E Mission Blvd
Fayetteville, AR 72703-4388

Mailing address

2244 Greenbriar Ave
Fayetteville, AR 72701-0549
Phone (479) 305-1986

Other practice location 1

1345 E Henri De Tonti Blvd Ste C
Tontitown, AR 72762-5347
Phone (479) 633-7547

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
I20250823000161 AR Practitioner - Nurse Practitioner 8820598949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 Hardin Rd
Suite 130
Little Rock, AR 72211-3501

4125 E Mission Blvd
Suite 2
Fayetteville, AR 72703-4445

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Watkins Family Health & Counseling, Inc. CurrentSince Jun 1, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1427844752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2244 GREENBRIAR AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727010549",
            "telephone_number": "479-305-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 E MISSION BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034388",
            "telephone_number": "479-485-3322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1345 E Henri De Tonti Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Tontitown",
            "state": "AR",
            "postal_code": "727625347",
            "country_code": "US",
            "telephone_number": "479-633-7547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNAWAY",
        "first_name": "KELLY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "232506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.