Individual provider Active NPI

Kyndale Honey-Williams

  • Registered Nurse
  • Tuckerman, AR
National Provider Identifier
1821869033
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
L060672 Issued in AR
Practice address
6309 Highway 367 N
Tuckerman, AR 72473-9389
Phone
(870) 495-3124
NPI assigned
Jan 16, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

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
L060672ARMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kidspot Jackson County Inc CurrentSince Jan 21, 2024 Accepting new patients
Kidspot Jackson County Inc CurrentSince Jan 21, 2024 Accepting new patients

Locations

6309 Highway 367 N
Tuckerman, AR 72473
Phone (870) 495-3124

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X L060672 AR Primary

Addresses

NPPES NPI Registry

Primary practice location

6309 Highway 367 N
Tuckerman, AR 72473-9389

Mailing address

6309 Highway 367 N
Tuckerman, AR 72473-9389
Phone (870) 495-3124

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 16, 2024.

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1821869033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6309 HIGHWAY 367 N",
            "city": "TUCKERMAN",
            "state": "AR",
            "postal_code": "724739389",
            "telephone_number": "870-495-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6309 HIGHWAY 367 N",
            "city": "TUCKERMAN",
            "state": "AR",
            "postal_code": "724739389",
            "telephone_number": "870-495-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONEY-WILLIAMS",
        "first_name": "KYNDALE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "L060672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuckerman, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.