Individual provider Active NPI

Megan L Redam, APN

  • Family Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1861512105
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A002998 Issued in AR
Practice address
4301 W Markham St # 515
Little Rock, AR 72205-7101
Phone
(501) 603-1211
Fax
(501) 686-7618
NPI assigned
Mar 30, 2007
Last updated
Nov 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ATP000061 AR
Family Nurse Practitioner 363LF0000X A002998 AR Primary

Addresses

Primary practice location

4301 W Markham St # 515
Little Rock, AR 72205-7101

Mailing address

4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000

Other practice location 1

10001 Lile Dr
Little Rock, AR 72205-6217
Phone (501) 227-8000

Other identifiers 2

IdentifierTypeStateIssuer
A02998OtherARLICENSE
ATP000061OtherARLICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070716000597 AR Practitioner - Nurse Practitioner 8224138516 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

824 Military Rd
Benton, AR 72015-3347
Phone (501) 574-3019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A002998ARMDFamily Nurse Practitioner
ATP000061ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Jan 11, 2021 Accepting new patients
Urgent Team of Arkansas Physicians, LLC CurrentSince Mar 10, 2025 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jan 11, 2021 Accepting new patients
Saline Clinics LLC CurrentSince Jul 1, 2016 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jan 11, 2021 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Nov 6, 2022 Accepting new patients
Urgent Team of Arkansas Physicians, LLC CurrentSince Mar 10, 2025 Accepting new patients
Saline Physician Services, LLC Past Accepting new patients
Little Rock Diagnostic Clinic PA Past Accepting new patients

Locations

5 Medical Park Dr
Ste 305
Benton, AR 72015
Phone (501) 574-7400

824 Military Rd
Benton, AR 72015
Phone (501) 574-3019

910 N East St
Benton, AR 72015
Phone (501) 381-2001

1 Medical Park Dr
Bryant, AR 72015
Phone (501) 776-6000

3412 Market Place Ave
#B
Bryant, AR 72022
Phone (501) 653-0353

7600 Rogers Ave
Fort Smith, AR 72903
Phone (479) 226-8340

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

1 Childrens Way
Ste 653
Little Rock, AR 72202

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
#515
Little Rock, AR 72205
Phone (501) 603-1656

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

5505 John F Kennedy Blvd
North Little Rock, AR 72116
Phone (501) 753-7931

511 W Main St
Russellville, AR 72801
Phone (479) 223-5130

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16686/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1861512105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 783",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-686-8000",
            "fax_number": "501-526-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 W MARKHAM ST # 515",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057101",
            "telephone_number": "501-603-1211",
            "fax_number": "501-686-7618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10001 Lile Dr",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722056217",
            "country_code": "US",
            "telephone_number": "501-227-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDAM",
        "first_name": "MEGAN",
        "middle_name": "L",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "ATP000061",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A002998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A02998",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ATP000061",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.