Individual provider Active NPI

Mary Alison Kee, APRN

  • Family Nurse Practitioner
  • Hazen, AR
National Provider Identifier
1699485912
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
218752 Issued in AR
Practice address
PO Box 394
Hazen, AR 72064-0394
Phone
(870) 255-3954
Fax
(870) 255-3989
NPI assigned
Nov 28, 2022
Last updated
May 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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 218752 AR Primary

Addresses

Primary practice location

PO Box 394
Hazen, AR 72064-0394

Mailing address

PO Box 394
Hazen, AR 72064-0394
Phone (870) 255-3954

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
I20221229000943 AR Practitioner - Nurse Practitioner 1951771344 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218752ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health CurrentSince Jan 1, 2023 Accepting new patients
Arkansas Health Group CurrentSince Dec 2, 2023 Accepting new patients
Baptist Health CurrentSince Jan 1, 2023 Accepting new patients
Arkansas Health Group CurrentSince Dec 2, 2023 Accepting new patients
Baptist Health Hospitals Past Accepting new patients

Locations

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

9501 Baptist Health Dr
Ste 600
Little Rock, AR 72205

757 E Front St
Lonoke, AR 72086
Phone (501) 266-7265

Interoperability endpoints

  • Direct secure messaging: mkee616866@direct.baptist-healthar.org

Organizations & group practices 5

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": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1699485912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 394",
            "city": "HAZEN",
            "state": "AR",
            "postal_code": "720640394",
            "telephone_number": "870-255-3954",
            "fax_number": "870-255-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 394",
            "city": "HAZEN",
            "state": "AR",
            "postal_code": "720640394",
            "telephone_number": "870-255-3954",
            "fax_number": "870-255-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEE",
        "first_name": "MARY",
        "middle_name": "ALISON",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "218752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazen, AR

Sources for this page

Verify at the official NPI Registry.