Individual provider Active NPI

Katia Rayburn, APRN

  • Family Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1740870583
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
126238 Issued in AR
Practice address
4110 Outpatient Circle
Little Rock, AR 72205
Phone
(501) 603-1900
Fax
(501) 603-1539
NPI assigned
Jan 26, 2021
Last updated
Apr 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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 126238 AR Primary

Addresses

Primary practice location

4110 Outpatient Circle
Little Rock, AR 72205

Mailing address

4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000

Other practice location 1

1100 N University Ave Ste 260
Little Rock, AR 72207-6367
Phone (501) 603-0003

Other practice location 2

3604 Central Ave Ste D
Hot Springs, AR 71913-6458
Phone (501) 463-4074

Other practice location 3

10301 Kanis Rd Ste 1
Little Rock, AR 72205-6205
Phone (501) 562-4838

Other practice location 4

4301 W Markham St # 547-17
Little Rock, AR 72205-7101
Phone (501) 603-1900

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
I20220225001827 AR Practitioner - Nurse Practitioner 8123412699 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4110 Outpatient Circle
Little Rock, AR 72205
Phone (501) 686-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
126238ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Abode Care Partners LTC VB, LLC CurrentSince Feb 5, 2025 Accepting new patients
Digestive Care PA CurrentSince Aug 1, 2025 Accepting new patients
Centers Medical Clinic, LLC CurrentSince Nov 23, 2022 Accepting new patients
Digestive Care P a CurrentSince Aug 1, 2025 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Feb 5, 2025 Accepting new patients
SHC Medical Partners of Arkansas, LLC CurrentSince Sep 23, 2024 Accepting new patients
Icp Arkansas Aco Billing LLC CurrentSince Sep 23, 2024 Accepting new patients
Healthy Connections Inc Past Accepting new patients

Locations

200 River Market Ave
Ste 100
Little Rock, AR 72201
Phone (501) 267-9870

200 River Market Ave
Ste 500
Little Rock, AR 72201
Phone (501) 492-0099

1521 Merrill Dr
Ste D240
Little Rock, AR 72211
Phone (501) 660-6897

14918 Cantrell Rd
Little Rock, AR 72223
Phone (501) 663-4747

4800 S Hazel St
Pine Bluff, AR 71603
Phone (870) 534-5533

1600 W C Pl
Russellville, AR 72801
Phone (479) 967-7717

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

Organizations & group practices 9

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": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1740870583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 783",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-686-8000",
            "fax_number": "501-526-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 OUTPATIENT CIRCLE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205",
            "telephone_number": "501-603-1900",
            "fax_number": "501-603-1539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 N University Ave Ste 260",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722076367",
            "country_code": "US",
            "telephone_number": "501-603-0003",
            "fax_number": "501-603-0030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3604 Central Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Hot Springs",
            "state": "AR",
            "postal_code": "719136458",
            "country_code": "US",
            "telephone_number": "501-463-4074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10301 Kanis Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722056205",
            "country_code": "US",
            "telephone_number": "501-562-4838",
            "fax_number": "501-562-1958",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4301 W Markham St # 547-17",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-603-1900",
            "fax_number": "501-603-1539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAYBURN",
        "first_name": "KATIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "126238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.