Individual provider Active NPI

Kenneth Michael Lawhorn, APN, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Smith, AR
National Provider Identifier
1447511225
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
C003017 Issued in AR
Practice address
7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone
(731) 333-6256
NPI assigned
Jun 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 16696 TN
Certified Registered Nurse Anesthetist 367500000X C003017 AR Primary

Addresses

Primary practice location

7301 Rogers Ave
Fort Smith, AR 72903-4100

Mailing address

PO Box 10588
Fort Smith, AR 72917-0588
Phone (501) 255-6697

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140429000510 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567628191 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renew Medical Group of Arkansas LTDGroup PAC ID 3173056298, 129 clinicians

Practice addresses (Care Compare)

7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone (479) 314-6000

Hospital & facility affiliations

  • Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16696TNMDNurse Practitioner
C003017ARMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Anesthesia Solutions of Arkansas, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
Johnson Regional Medical Center CurrentSince Jun 2, 2018 Accepting new patients
Arkansas Health Group CurrentSince Dec 12, 2022 Accepting new patients
Western Arkansas Obstetric Anesthesia LLC CurrentSince Apr 1, 2014 Accepting new patients
Phoenix Anesthesia PA CurrentSince Oct 1, 2014 Accepting new patients
Western Arkansas Anesthesiology Associates P.a. CurrentSince Apr 1, 2014 Accepting new patients
Arkansas Health Group CurrentSince Dec 12, 2022 Accepting new patients
Renew Medical Group of Arkansas LTD Nurse Anesthetist, Certified Registered CurrentSince Nov 15, 2024 Accepting new patients
Johnson Regional Medical Center CurrentSince Jun 2, 2018 Accepting new patients

Locations

1100 E Poplar St
Ste B
Clarksville, AR 72830
Phone (479) 754-5454

3601 S 79th St
Fort Smith, AR 72903
Phone (479) 314-4723

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

6801 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-6000

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000

211 Crawford Memorial Dr
Van Buren, AR 72956
Phone (479) 471-4300

Organizations & group practices 9

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 1

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": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1447511225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10588",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729170588",
            "telephone_number": "501-255-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034100",
            "telephone_number": "731-333-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWHORN",
        "first_name": "KENNETH",
        "middle_name": "MICHAEL",
        "credential": "APN, CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-07",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "16696",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C003017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.