Individual provider Active NPI

Kristy Porter

  • Family Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1689555906
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
229586 Issued in AR
Practice address
11402 W Markham St
Little Rock, AR 72211-2806
Phone
(501) 482-3389
NPI assigned
Sep 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 229586 AR Primary

Addresses

Primary practice location

11402 W Markham St
Little Rock, AR 72211-2806

Mailing address

11402 W Markham St
Little Rock, AR 72211-2806
Phone (501) 482-3389

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
I20251105003603 AR Practitioner - Nurse Practitioner 9133619463 Reassigns benefits to 1 organization
Practice locations: Benton, AR; Little Rock, AR

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11402 W Markham St
Little Rock, AR 72211-2806
Phone (501) 482-3389

123 Audubon Dr
Suite 600
Maumelle, AR 72113-5506
Phone (501) 803-9481

14524 Cantrell Rd
Suite 160
Little Rock, AR 72223-4673
Phone (501) 482-3074

1547 Harrison St
Batesville, AR 72501-7222
Phone (870) 793-5800

3550 Springhill Dr
North Little Rock, AR 72117-2947
Phone (501) 214-7177

402 W Main St
Cabot, AR 72023-2900
Phone (501) 628-9215

511 W Main St
Russellville, AR 72801-3601
Phone (479) 567-5652

610 Shepherd Dr
Searcy, AR 72143-6873
Phone (501) 268-6831

6805 Cantrell Rd
Little Rock, AR 72207-4134
Phone (501) 260-7992

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
229586ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Team of Arkansas Physicians, LLC CurrentSince Oct 23, 2025 Accepting new patients
Urgent Team of Arkansas Physicians, LLC CurrentSince Oct 23, 2025 Accepting new patients

Locations

824 Military Rd
Benton, AR 72015
Phone (501) 574-3019

11402 W Markham St
Little Rock, AR 72211
Phone (501) 425-7564

511 W Main St
Russellville, AR 72801
Phone (479) 223-5130

Organizations & group practices 2

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": "1757548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1689555906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11402 W MARKHAM ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112806",
            "telephone_number": "501-482-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11402 W MARKHAM ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112806",
            "telephone_number": "501-482-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "KRISTY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-11",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "229586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.