Arkansas Vascular and Vein Specialists, PLLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

ARKANSAS VASCULAR AND VEIN SPECIALISTS, PLLC

Practice address

10310 W Markham St Ste 100
Little Rock, AR 72205-1581

Phone

(501) 712-2571

NPI assigned

Dec 21, 2022

Last updated

Dec 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristen Nehk

Title

Evp Credentialing

Phone

(501) 712-2571

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kalenda Kasangana, MD

  • Vascular Surgery Physician
  • Little Rock, AR
  • NPI 1942447149
  Medicare reassignment Care Compare group NPD
• Kelley Elizabeth Rodriguez, APRN

  • Acute Care Nurse Practitioner
  • Little Rock, AR
  • NPI 1194609628
  Medicare reassignment Care Compare group NPD
• Kyla Rae Shelton, MD

  • Vascular Surgery Physician
  • Little Rock, AR
  • NPI 1275859076
  Medicare reassignment Care Compare group NPD
• Christian Dupre Simmons, M.D./PH.D.

  • Vascular Surgery Physician
  • Little Rock, AR
  • NPI 1619234366
  Medicare reassignment Care Compare group NPD
• Amanda M Hawks-Paredes, APRN

  • Acute Care Nurse Practitioner
  • Little Rock, AR
  • NPI 1710400940
  Medicare reassignment NPD
• Caroline Lipe, PA-C

  • Physician Assistant
  • Little Rock, AR
  • NPI 1023908357
  Medicare reassignment NPD

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1639881600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10310 W MARKHAM ST STE 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722051581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10310 W MARKHAM ST STE 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722051581",
            "telephone_number": "501-712-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS VASCULAR AND VEIN SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-21",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "NEHK",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "EVP CREDENTIALING",
        "authorized_official_telephone_number": "501-712-2571"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arkansas Telemedicine Associates, PC
• Arkansas TMJ Center LLC
• Arkansas Urogynecology and Womens Health LLC
• Arkansas Urology, P.a.
• Arkansas Urology, PA (Arkansas Urology Igrt)
• Arkansas Vascular Surgery, PLLC
• Arkansas Virtual Academy
• Arkansas Wellness Associates LLC
• Arkansas Women's Center PA
• Carri R Arman

• Vascular Surgery Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Vascular Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.