Individual provider Active NPI

Taylor McKenzie Cardwell

  • Family Nurse Practitioner
  • Fort Smith, AR
National Provider Identifier
1467304832
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
223248 Issued in AR
Practice address
5921 Riley Park Dr
Fort Smith, AR 72916-6103
Phone
(479) 649-3376
Fax
(479) 242-2256
NPI assigned
Feb 10, 2026
Last updated
Feb 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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 223248 AR Primary

Addresses

Primary practice location

5921 Riley Park Dr
Fort Smith, AR 72916-6103

Mailing address

5921 Riley Park Dr
Fort Smith, AR 72916-6103
Phone (479) 649-3376

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
I20260318002918 AR Practitioner - Nurse Practitioner 0547744518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johnson Dermatology Clinic PLLCGroup PAC ID 4789688615, 11 clinicians

Practice addresses (Care Compare)

5921 Riley Park Dr
Fort Smith, AR 72916-6103
Phone (479) 649-3376

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
223248ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Dermatology Clinic PLLC CurrentSince Feb 23, 2026 Accepting new patients

Locations

5921 Riley Park Dr
Fort Smith, AR 72916
Phone (479) 649-3376

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1770681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1467304832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5921 RILEY PARK DR",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729166103",
            "telephone_number": "479-649-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5921 RILEY PARK DR",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729166103",
            "telephone_number": "479-649-3376",
            "fax_number": "479-242-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDWELL",
        "first_name": "TAYLOR",
        "middle_name": "MCKENZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-10",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "223248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.