Individual provider Active NPI

Karia L Daniel, APRN

  • Family Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1447074968
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
123613 Issued in AR
Practice address
904 Autumn Road
Suite 200
Little Rock, AR 72211-3741
Phone
(501) 227-6363
Fax
(501) 227-8629
NPI assigned
Nov 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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 123613 AR Primary

Addresses

Primary practice location

904 Autumn Road
Suite 200
Little Rock, AR 72211-3741

Mailing address

904 Autumn Road
Suite 200
Little Rock, AR 72211-3741
Phone (501) 227-6363

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
I20250102003372 AR Practitioner - Nurse Practitioner 6406383470

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

904 Autumn Rd
Suite 200
Little Rock, AR 72211-3741

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
123613ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Autumn Road Family Practice, P.a, CurrentSince Dec 2, 2024 Accepting new patients
University of Arkansas for Medical Sciences PastSince Nov 17, 2024 Accepting new patients

Locations

904 Autumn Rd
Ste 200
Little Rock, AR 72211
Phone (501) 227-6363

Interoperability endpoints

  • Direct secure messaging: karia.daniel.1@22025.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22025/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 2

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": "1731369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1447074968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 AUTUMN ROAD",
            "address_2": "SUITE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113741",
            "telephone_number": "501-227-6363",
            "fax_number": "501-227-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 AUTUMN ROAD",
            "address_2": "SUITE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113741",
            "telephone_number": "501-227-6363",
            "fax_number": "501-227-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "KARIA",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "123613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.