NPIMap

Individual provider Active NPI

Carolyn Marie McKnight, FNP

  • Nurse Practitioner
  • Hot Springs Village, AR
National Provider Identifier
1699492637
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
221894 Issued in AR
Practice address
121 Cordoba Center Dr Ste 400
Hot Springs Village, AR 71909-4036
Phone
(501) 915-0837
Fax
(501) 915-0978
NPI assigned
Oct 20, 2022
Last updated
Oct 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 221894 AR Primary

Addresses

Primary practice location

121 Cordoba Center Dr Ste 400
Hot Springs Village, AR 71909-4036

Mailing address

1466 Cones Rd
Hot Springs, AR 71901-8707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221118000884 AR Practitioner - Nurse Practitioner 8325416597 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
Arkansas Healthcare Services LLCGroup PAC ID 9335134402, 19 clinicians

Practice addresses (Care Compare)

1900 Malvern Ave
Suite 201
Hot Springs, AR 71901-7777
Phone (501) 623-6455

1910 Malvern Ave
Hot Springs, AR 71901-7752
Phone (501) 625-3400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
221894ARMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Healthcare Services LLC CurrentSince Dec 1, 2022 Accepting new patients
Saline Clinics LLC PastSince Oct 23, 2022 Accepting new patients

Locations

1900 Malvern Ave
Hot Springs National Park, AR 71901
Phone (501) 624-0123

121 Cordoba Center Dr
Hot Springs Village, AR 71909
Phone (501) 915-0837

121 Cordoba Center Dr
Ste 400
Hot Springs Village, AR 71909
Phone (501) 915-0837

Interoperability endpoints

  • Direct secure messaging: carolyn.mcknight.1@2554.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16686/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/2554/brand/4/csg/1/fhir/r4

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1699492637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1466 CONES RD",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719018707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CORDOBA CENTER DR STE 400",
            "city": "HOT SPRINGS VILLAGE",
            "state": "AR",
            "postal_code": "719094036",
            "telephone_number": "501-915-0837",
            "fax_number": "501-915-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKNIGHT",
        "first_name": "CAROLYN",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "221894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs Village, AR

Sources for this page

Verify at the official NPI Registry.