Active NPI
Kimberly Nicole Alexander, RN
- Registered Nurse
- Fayetteville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 223368
- Practice address
- 3215 N Northhills Blvd
Fayetteville, AR 72703-4424 - Phone
- (479) 463-1000
- NPI assigned
- May 16, 2024
- Last updated
- May 16, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 223368 | AR | Primary |
Addresses
Primary practice location
3215 N Northhills Blvd
Fayetteville, AR 72703-4424
Mailing address
2811 N University Ave
Little Rock, AR 72207-2739
Phone (479) 353-7588
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, OR
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Arkansas College of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3215 N N Hills Blvd
Fayetteville, AR 72703-4424
Phone (479) 463-1000
7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone (479) 314-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 223368 | AR | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renew Medical Group of Arkansas LTD | Current | Accepting new patients | |
| Premier Anesthesia of Arkansas Professional Corporation | Current | Accepting new patients |
Locations
3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1025
7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600
2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Fayetteville, AR
- NPI 1932519485
-
- Anesthesiology Physician
- Fort Smith, AR
- NPI 1215755947
-
- Anesthesiology Physician
- Portland, OR
- NPI 1649816380
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Hospital Northwest Arkansas
- General Acute Care Hospital
- Rogers, AR
- NPI 1316902414
-
- General Acute Care Hospital
- Fayetteville, AR
- NPI 1083609150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715817600000",
"number": "1821847294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2811 N UNIVERSITY AVE",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722072739",
"telephone_number": "479-353-7588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3215 N NORTHHILLS BLVD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034424",
"telephone_number": "479-463-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "KIMBERLY",
"middle_name": "NICOLE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-16",
"last_updated": "2024-05-16",
"certification_date": "2024-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AR",
"license": "223368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
- Yasmin Al-Atrache, P.A.
- Al-Murtadha Al-Gahmi, MD
- Christen Anthony Alaniz, ATC
- Bernadette A. Alberty, M.D.
- Lane E Alderson, APRN
- Travis Alexander, PT
- Whitney Smith Alexander, M.D.
- Alexis Racheotes DC PLLC Sports Chiropractic & Acupuncture
- Alexis Racheotes, DC PLLC Sports Chiropractic & Acupuncture (Sports Chiropractic & Acupuncture)
- Jade Robert Alfasi, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.