Individual provider Active NPI

Porsche A Craft, NP

  • Family Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1508377094
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
227617 Issued in AR
Practice address
1 Childrens Way # 512-16
Little Rock, AR 72202-3500
Phone
(501) 364-1100
Fax
(501) 364-4082
NPI assigned
Oct 24, 2017
Last updated
Aug 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP135074 TX
Family Nurse Practitioner 363LF0000X 903273 MS
Family Nurse Practitioner 363LF0000X 227617 AR Primary

Addresses

Primary practice location

1 Childrens Way # 512-16
Little Rock, AR 72202-3500

Mailing address

1 Childrens Way # 653
Little Rock, AR 72202-3500
Phone (501) 364-1100

Other practice location 1

2500 N State St
Jackson, MS 39216
Phone (601) 815-0013

Other practice location 2

1611 N Belt Line Rd Ste A
Mesquite, TX 75149-1792
Phone (972) 613-1000

Other names 1

  • Porsche A Doss Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AR, TN, TX4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20191018000691 MS Practitioner - Nurse Practitioner 7810228020 Reassigns benefits to 1 organization
I20240723004696 AR Practitioner - Nurse Practitioner 7810228020 Reassigns benefits to 4 organizations
I20240724004007 TN Practitioner - Nurse Practitioner 7810228020 Reassigns benefits to 1 organization
I20241025002338 TX Practitioner - Nurse Practitioner 7810228020 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26938TNMDSpecialist
227617ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Jul 5, 2024 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Sep 4, 2019 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Sep 4, 2019 Accepting new patients
University of Arkansas for Medical Sciences Current Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jul 5, 2024 Accepting new patients
Arkansas Children's Hospital CurrentSince Jul 5, 2024 Accepting new patients
Arkansas Childrens Hospital CurrentSince Jul 5, 2024 Accepting new patients
Arkansas Childrens Professional Services Organization LLC CurrentSince Oct 16, 2025 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince May 13, 2024 Accepting new patients
Arkansas Childrens Hospital Past Accepting new patients
Arkansas Childrens Hospital Past Accepting new patients

Locations

1 Childrens Way
Little Rock, AR 72202
Phone (501) 441-3453

1 Childrens Way
#51216
Little Rock, AR 72202
Phone (501) 364-1050

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

1 Childrens Way
Ste 653
Little Rock, AR 72202

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

350 W Woodrow Wilson Ave
Jackson, MS 39213
Phone (601) 364-2666

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 11

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": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1508377094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS WAY # 653",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722023500",
            "telephone_number": "501-364-1100",
            "fax_number": "501-364-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS WAY # 512-16",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722023500",
            "telephone_number": "501-364-1100",
            "fax_number": "501-364-4082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "39216",
            "country_code": "US",
            "telephone_number": "601-815-0013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1611 N Belt Line Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "TX",
            "postal_code": "751491792",
            "country_code": "US",
            "telephone_number": "972-613-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAFT",
        "first_name": "PORSCHE",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP135074",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903273",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "227617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PORSCHE",
            "last_name": "DOSS",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.