Kanisher Caldwell, APRN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

A004742 Issued in AR

Practice address

7500 Dollarway Rd Ste 403
White Hall, AR 71602-3083

Phone

(870) 247-4525

Fax

(870) 247-4294

NPI assigned

Jul 11, 2016

Last updated

Mar 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kanisher.caldwell@4085.securemail.prognocis.com

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.

• Optimal Pain and Wellness

  • Physical Medicine & Rehabilitation Physician
  • Fayetteville, AR
  • NPI 1487920146
  Medicare reassignment NPD
• Springdale- Bentonville HBP Services, LLC

  • Neonatal-Perinatal Medicine Physician
  • Bentonville, AR
  • NPI 1811762701

  Nurse Practitioner

  Medicare reassignment NPD
• Charis Health & Wellness

  • Primary Care Nurse Practitioner
  • White Hall, AR
  • NPI 1457814501
  Authorized official Same address or phone
• Neurology Clinic of South Arkansas,PA

  • Neurological Surgery Physician
  • White Hall, AR
  • NPI 1124032560
  NPD
• Optimal Pain and Wellness

  • Physical Medicine & Rehabilitation Physician
  • Van Buren, AR
  • NPI 1619605094
  NPD
• Icarepro of Texas, PA

  • Clinical Nurse Specialist
  • Texarkana, TX
  • NPI 1396193066
  NPD (past)

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1821440116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 DOLLARWAY RD STE 403",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716023083",
            "telephone_number": "870-247-4525",
            "fax_number": "870-247-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 DOLLARWAY RD STE 403",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716023083",
            "telephone_number": "870-247-4525",
            "fax_number": "870-247-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "KANISHER",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A004742",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AR",
            "license": "A004742",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AR",
            "license": "A004742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassinda Braden, COTAL
• Carriell Brown, MHPP
• Elishia Brown, LMSW
• Draper A Buchanan, LPC
• Kayla Nicole Burke, PTA
• Sharon Carroll, MHPP
• Charis Health & Wellness
• Nathan Lee Chennault, LCSW
• Sheila Clifton, MHPP
• Rhonda Coleman, DNP, APRN

• Primary Care Nurse Practitioner in White Hall, AR
• Providers in White Hall, AR by specialty
• Primary Care Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.