Active NPI
Kathleen Marie Johnstonbaugh, MD
- Hospice and Palliative Medicine (Family Medicine) Physician
- Little Rock, AR
National Provider Identifier
1720666183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- License
- E-17580
- Practice address
- 4301 W Markham St # 508
Little Rock, AR 72205-7199 - Phone
- (501) 686-8000
- Fax
- (501) 526-5148
- NPI assigned
- Mar 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E-17580 | AR | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | E-17580 | AR | Primary |
Addresses
Primary practice location
4301 W Markham St # 508
Little Rock, AR 72205-7199
Mailing address
147 Charles Thomas Blvd
Searcy, AR 72143-8943
Phone (602) 752-0747
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14 Parkstone Cir
North Little Rock, AR 72116-7086
Phone (501) 748-3333
14 Parkstone Circle
North Little Rock, AR 72116-7086
Hospital & facility affiliations
- Arkansas Hospice Inc
- White County Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-17580 | AR | MD | Hospice and Palliative Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Palliative Care, LLC | Hospice and Palliative Medicine | Current | Accepting new patients |
Locations
14 Parkstone Cir
#C
North Little Rock, AR 72116
Phone (501) 748-3333
14 Parkstone Cir
North Little Rock, AR 72116
Phone (501) 748-3333
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- North Little Rock, AR
- NPI 1205202728
Hospice and Palliative Medicine
Hospital & facility affiliations 20
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- North Little Rock, AR
- NPI 1689657470
-
- Hospitalist Physician
- Searcy, AR
- NPI 1053662890
-
- General Acute Care Hospital
- Searcy, AR
- NPI 1568406536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751500800000",
"number": "1720666183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 CHARLES THOMAS BLVD",
"city": "SEARCY",
"state": "AR",
"postal_code": "721438943",
"telephone_number": "602-752-0747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 W MARKHAM ST # 508",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722057199",
"telephone_number": "501-686-8000",
"fax_number": "501-526-5148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTONBAUGH",
"first_name": "KATHLEEN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-29",
"last_updated": "2025-07-03",
"certification_date": "2025-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E-17580",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "AR",
"license": "E-17580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.