Kristin Leigh Gannoe, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

E3694 Issued in AR

Practice address

28 Rahling Cir
Little Rock, AR 72223-9187

Phone

(501) 448-0060

Fax

(501) 448-0066

NPI assigned

Aug 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

State of ArkansasGroup PAC ID 6507863958, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• State of Arkansas

  • Psychiatric Hospital
  • Little Rock, AR
  • NPI 1891808630
  Medicare reassignment Care Compare group NPD
• State of Arkansas

  • Skilled Nursing Facility
  • North Little Rock, AR
  • NPI 1689117756
  NPD
• Arkansas Psychiatric Clinic, Professional Association

  • Psychiatry Physician
  • Little Rock, AR
  • NPI 1205804481
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1811904915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 RAHLING CIR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722239187",
            "telephone_number": "501-448-0060",
            "fax_number": "501-448-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 RAHLING CIR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722239187",
            "telephone_number": "501-448-0060",
            "fax_number": "501-448-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANNOE",
        "first_name": "KRISTIN",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AR",
            "license": "E3694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150663001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooklyn Ganey
• Veronica C Gangluff, MS CCC-SLP
• Sandeepan Ganguly
• Dottie L Gann, BSN,RN,CRRN
• Michael Keith Gann Jr.
• Chad Allyn Gannon
• Hope Willcutts Ganucheau
• Ling Gao, M.D., PH.D.
• Xiang Gao, MD
• Xiomara Carmen Garcia -Casal, MD

• Child & Adolescent Psychiatry Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Child & Adolescent Psychiatry Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.

Verify at the official NPI Registry.