Kristin Kiernan

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

226202 Issued in AR

Practice address

3348 Main St Ste 100
Bryant, AR 72022-5013

Phone

(501) 443-3818

Fax

(501) 521-1001

NPI assigned

Sep 20, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, 2023

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Kristin N Kiernan Aprn PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bryant, AR
  • NPI 1023899309

  Single Specialty

  Medicare reassignment NPD Authorized official
• Moonlight Mental Health

  • Mental Health Counselor
  • Benton, AR
  • NPI 1780276451

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1508644402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 DEER VALLEY DR",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721049240",
            "telephone_number": "870-403-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3348 MAIN ST STE 100",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720225013",
            "telephone_number": "501-443-3818",
            "fax_number": "501-521-1001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 Deer Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Malvern",
            "state": "AR",
            "postal_code": "721049240",
            "country_code": "US",
            "telephone_number": "870-403-8287",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 S. Main St.",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "AR",
            "postal_code": "72015",
            "country_code": "US",
            "telephone_number": "501-672-2339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIERNAN",
        "first_name": "KRISTIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2025-07-10",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "226202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Venus Kato, COTA/L
• Cheryl Ann Kelley, RN
• Lacristal Denise Kennedy
• Jenna Kester
• Keystone Family Therapy, PLLC
• Camille Jane King
• Kreshun Tyrus King Sr.
• Nicki Shauntel Kinley, LCSW
• Kirby J. Robinson, DDS of Arkansas, PLLC
• KMJ Enterprises Benton II, LLC

• Psychiatric/Mental Health Nurse Practitioner in Bryant, AR
• Providers in Bryant, AR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.