Kelly Glenn Thompson-Davis, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

214719 Issued in AR

Practice address

2000 S 42ND St Ste 100
Rogers, AR 72758-2001

Phone

(479) 273-9173

NPI assigned

Feb 3, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Benton County Physician Services LLCGroup PAC ID 3577503689, 36 clinicians

Texarkana Behavioral Associates LCGroup PAC ID 9436062379, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwest Medical Center-Springdale Hospital, Springdale, AR, CCN 040022

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelly.thompsondavis.5@2229.direct.athenahealth.com

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.

• Northwest Benton County Physician Services LLC

  • Family Medicine Physician
  • Bentonville, AR
  • NPI 1871553073
  Medicare reassignment Care Compare group NPD
• Texarkana Behavioral Associates, L.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Barling, AR
  • NPI 1467483677
  Medicare reassignment Care Compare group NPD
• Texarkana Behavioral Associates LC

  • Psychiatry Physician
  • Fayetteville, AR
  • NPI 1114040888
  NPD
• Texarkana Behavioral Associates, L.C.

  • Psychiatric Hospital
  • Fayetteville, AR
  • NPI 1639137565
  NPD
• Arkansas Family Care Network

  • Family Medicine Physician
  • Little Rock, AR
  • NPI 1336396407
  NPD (past)
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northwest Arkansas Hospitals, LLC

  • General Acute Care Hospital
  • Springdale, AR
  • NPI 1699726695
  Care Compare affiliation

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1467043224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S 42ND ST STE 100",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727582001",
            "telephone_number": "479-273-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S 42ND ST STE 100",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727582001",
            "telephone_number": "479-273-9173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4253 N Crossover Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727034593",
            "country_code": "US",
            "telephone_number": "877-884-0641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON-DAVIS",
        "first_name": "KELLY",
        "middle_name": "GLENN",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-03",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "214719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelly.thompson-davis.4@2229.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR DIRECT ADDRESS",
            "address_1": "2000 S 42nd St Ste 100",
            "city": "Rogers",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727582001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hannah Thomas
• Karoline Thomas, LAC
• Matthew Thomas
• Rachel Racho Thomas, M.S. CCC-SLP
• Robert Sean Thomas, DO
• Christina Thompson, OD
• Colby Thompson, CNP
• Kimberly McDonald Thornton, M.D.
• Coleman Trey Thrash, CRNA
• Jasmine Lee Tibon, MD

• Family Nurse Practitioner in Rogers, AR
• Providers in Rogers, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.