Individual provider Active NPI

Shanna Rahmaan, CNP

  • Family Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1699226860
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004886 Issued in AR
Practice address
5921 W 12TH St
Little Rock, AR 72204-1623
Phone
(501) 801-0001
NPI assigned
Oct 21, 2016
Last updated
Sep 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 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 A004886 AR Primary

Addresses

Primary practice location

5921 W 12TH St
Little Rock, AR 72204-1623

Mailing address

3724 Sierra Forest Dr
Little Rock, AR 72212-2413
Phone (501) 247-3197

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
I20170824002647 AR Practitioner - Nurse Practitioner 7416229422 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

108 N Shackeford Rd
Little Rock, AR 72211-2840
Phone (501) 712-2571

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A004886ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Comprehensive Care System, Inc Current Accepting new patients
Jefferson Comprehensive Care System, Inc CurrentSince Dec 10, 2019 Accepting new patients
Jefferson Comprehensive Care System, Inc CurrentSince Dec 10, 2019 Accepting new patients
Pain Treatment Centers of America PLLC CurrentSince Oct 6, 2025 Accepting new patients
Pain Treatment Centers of America, PLLC CurrentSince Oct 6, 2025 Accepting new patients
Planned Parenthood of Arkansas and Eastern Oklahoma, Inc. PastSince Aug 1, 2019 Accepting new patients
Pain Treatment Centers of America, PLLC Past Accepting new patients

Locations

1215 Sidney St
Batesville, AR 72501
Phone (870) 262-1541

108 N Shackleford Rd
Little Rock, AR 72211
Phone (501) 346-8116

4020 Richards Rd
Ste A
North Little Rock, AR 72117
Phone (501) 900-8763

4509 E McCain Blvd
North Little Rock, AR 72117
Phone (501) 945-4200

1101 S Tennessee St
Pine Bluff, AR 71601
Phone (870) 543-2300

Organizations & group practices 7

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": "1477008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1699226860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3724 SIERRA FOREST DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722122413",
            "telephone_number": "501-247-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5921 W 12TH ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041623",
            "telephone_number": "501-801-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAAN",
        "first_name": "SHANNA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-21",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.