Individual provider Active NPI

Rebecca Kempkes Effrein, APRN

  • Acute Care Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1780924423
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
A003805 Issued in AR
Practice address
10802 Executive Center Drive
Suite 100
Little Rock, AR 72211
Phone
(501) 257-5080
Fax
(501) 244-1320
NPI assigned
Feb 17, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R079317 AR
Acute Care Nurse Practitioner 363LA2100X A003805 AR Primary

Addresses

Primary practice location

10802 Executive Center Drive
Suite 100
Little Rock, AR 72211

Mailing address

210 Buckland Cir
Little Rock, AR 72223-4534
Phone (501) 276-0979

Other names 1

  • Ms. Rebecca Leigh Kempkes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R079317ARMDRegistered Nurse
A003805ARMDAcute Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1361059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1780924423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 BUCKLAND CIR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722234534",
            "telephone_number": "501-276-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10802 EXECUTIVE CENTER DRIVE",
            "address_2": "SUITE 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72211",
            "telephone_number": "501-257-5080",
            "fax_number": "501-244-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFFREIN",
        "first_name": "REBECCA",
        "middle_name": "KEMPKES",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-17",
        "last_updated": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R079317",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AR",
            "license": "A003805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "KEMPKES",
            "middle_name": "LEIGH",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.