Individual provider Active NPI

Starsha Lynn Ford, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1649907593
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
221404 Issued in AR
Practice address
8924 Kanis Rd
Little Rock, AR 72205-6414
Phone
(501) 455-2712
NPI assigned
Aug 2, 2022
Last updated
Feb 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 221404 AR Primary

Addresses

Primary practice location

8924 Kanis Rd
Little Rock, AR 72205-6414

Mailing address

11501 Huron LN
Little Rock, AR 72211-1846

Other practice location 1

8924 Kanis Rd
Little Rock, AR 72205-6414
Phone (501) 455-2712

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
I20220912000856 AR Practitioner - Nurse Practitioner 7719362797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Reding and Leach MD PLLCGroup PAC ID 7012258627, 62 clinicians

Practice addresses (Care Compare)

685 Shelby TRL
Suite 104
Conway, AR 72034-7169
Phone (501) 255-8100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
221404ARMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reding & Leach MD PLLC CurrentSince Jun 21, 2023 Accepting new patients
Arcare Current Accepting new patients
Arcare CurrentSince Aug 22, 2022 Accepting new patients
Arcare CurrentSince Aug 22, 2022 Accepting new patients

Locations

623 N 9th St
#40
Augusta, AR 72006

685 Shelby Trl
Ste 104
Conway, AR 72034
Phone (501) 255-8100

11501 Huron Ln
Ste 5
Little Rock, AR 72211
Phone (501) 904-4762

8924 Kanis Rd
Little Rock, AR 72205
Phone (501) 227-4750

Interoperability endpoints

  • Direct secure messaging: starsha.ford.1@21565.direct.athenahealth.com
  • Direct secure messaging: starsha.pardee@arcare.directbygreenway.com

Organizations & group practices 4

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": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1649907593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11501 HURON LN",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722111846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8924 KANIS RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056414",
            "telephone_number": "501-455-2712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8924 Kanis Rd",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722056414",
            "country_code": "US",
            "telephone_number": "501-455-2712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "STARSHA",
        "middle_name": "LYNN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "221404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.