Krista F Santiago, MNSC, APRN, CPNP-PC

Individual provider Active NPI Pediatric Nurse Practitioner · Bryant, AR

NPI 1437829322 · NPPES record last updated Sep 14, 2021

Key facts

NPI: 1437829322
Entity type: Individual (NPI type 1)
Primary specialty: Pediatric Nurse Practitioner 363LP0200X
License: 214862 (AR)
Practice address: 2301 Springhill Rd Ste 200
Bryant, AR 72019-7566
Phone: (501) 847-2500
NPI assigned: Sep 14, 2021
Sex: Female
Sole proprietor: No

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.

Central Arkansas Pediatric Clinic Legal Medicine · Benton, AR · NPI 1124057088

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
214862	AR	MD	Pediatric Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Central Arkansas Pediatric Clinic		Past since Sep 23, 2021	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pediatric Nurse Practitioner	363LP0200X	214862	AR	Yes

Addresses

Primary practice location

2301 Springhill Rd Ste 200
Bryant, AR 72019-7566

Mailing address

14612 Ridgewood Dr
Little Rock, AR 72211-4558
Phone (501) 730-2345

Other providers in Bryant, AR

All providers in Bryant, AR · Pediatric Nurse Practitioner in Arkansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.