Individual provider Active NPI

Kristy L Ammons, APRN

  • Psychiatry Physician
  • Paragould, AR
National Provider Identifier
1740517192
Registry record updated May 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
219344 Issued in AR
Practice address
1707 Linwood Dr Ste G
Paragould, AR 72450-5365
Phone
(870) 604-4455
NPI assigned
Nov 5, 2009
Last updated
May 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 219344 AR Primary

Addresses

Primary practice location

1707 Linwood Dr Ste G
Paragould, AR 72450-5365

Mailing address

1707 Linwood Dr Ste G
Paragould, AR 72450-5365
Phone (870) 604-4455

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
I20221229002605 AR Practitioner - Nurse Practitioner 9931579364 Reassigns benefits to 5 organizations

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
Arisa Health IncGroup PAC ID 2264853829, 65 clinicians
Counseling Associates IncGroup PAC ID 3173583564, 33 clinicians

Practice addresses (Care Compare)

209 S Lockard St
Blytheville, AR 72315-2541
Phone (870) 763-2139

8 Hospital Dr
Morrilton, AR 72110-4510
Phone (501) 354-1561

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
219344ARMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Associates, Inc. CurrentSince Aug 7, 2023 Accepting new patients
Arisa Health, Inc. CurrentSince Aug 1, 2023 Accepting new patients
St Bernards Hospital Inc. CurrentSince Aug 1, 2023 Accepting new patients
Arisa Health, Inc. Licensed Practical Nurse Current Accepting new patients
St. Bernards Hospital, Inc CurrentSince Aug 1, 2023 Accepting new patients
Counseling Associates Inc CurrentSince Aug 7, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Apr 22, 2023 Accepting new patients
Nextstep Counseling Services, LLC CurrentSince Oct 1, 2022 Accepting new patients

Locations

209 S Lockard St
Blytheville, AR 72315
Phone (870) 763-2139

1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440

225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630

2707 Browns Ln
Jonesboro, AR 72401
Phone (870) 972-4000

2712 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 268-4107

8 Hospital Dr
Morrilton, AR 72110
Phone (501) 354-1561

1707 Linwood Dr
Ste B
Paragould, AR 72450
Phone (870) 215-0669

1707 Linwood Dr
Ste G
Paragould, AR 72450
Phone (870) 604-4455

110 Skyline Dr
Russellville, AR 72801
Phone 4799675570223

2400 S 48th St
Springdale, AR 72762
Phone (479) 725-5115

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 8

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 1

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": "1257379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651363200000",
    "number": "1740517192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 LINWOOD DR STE G",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724505365",
            "telephone_number": "870-604-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 LINWOOD DR STE G",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724505365",
            "telephone_number": "870-604-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMMONS",
        "first_name": "KRISTY",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-05",
        "last_updated": "2022-05-01",
        "certification_date": "2022-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "219344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

Verify at the official NPI Registry.