Lauren Kincannon, APRN
Individual provider Active NPI Adult Health Nurse Practitioner · Little Rock, AR
NPI 1780141531 · NPPES record last updated Jul 16, 2020
Key facts
- NPI
- 1780141531
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- A006140 (AR)
- Practice address
- Baptist Health Cardiothoracic Surgery Clinic
Little Rock, AR 72205-7220 - Phone
- (501) 223-2860
- NPI assigned
- Feb 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190502002509 | AR | Practitioner - Nurse Practitioner | 0840532347 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current |
Accepting new patients | |
| University of Arkansas for Medical Sciences | Current |
Accepting new patients |
Locations
4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278
4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278
Interoperability endpoints
- lkincannon468593@direct.stlukeshealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | A006140 | AR | Yes |
Addresses
Primary practice location
Baptist Health Cardiothoracic Surgery Clinic
Little Rock, AR 72205-7220
Mailing address
9601 Baptist Health Dr Ste 990
Little Rock, AR 72205-6376
Phone (501) 223-2860
Other practice location 1
4301 W Markham St
Little Rock, AR 72205-7101
Phone (501) 686-5311
Other providers in Little Rock, AR
- Lindley Ann Kinard
- John C Kincaid Jr.
- Kimberly Morgan Kincaid
- Christina Kincannon
- Jay Kincannon
- Delaney Kinchen
- Destinee Kinchen
- Kathleen Duval Kinder
- Patricia Ann Kinder
- Stacy Ann Kindervater
All providers in Little Rock, AR · Adult Health Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.