Kristen Nicole Busby, PA-C, ATC
Individual provider Active NPI Physician Assistant · Little Rock, AR
NPI 1891144028 · NPPES record last updated Apr 7, 2025
Key facts
- NPI
- 1891144028
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA-1371 (AR)
- Practice address
- 9601 Baptist Health Dr
Little Rock, AR 72205-6321 - Phone
- (870) 925-0606
- NPI assigned
- Jun 8, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250226003824 | AR | Practitioner - Physician Assistant | 4082134515 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | PA-1371 | AR | Yes |
Addresses
Primary practice location
9601 Baptist Health Dr
Little Rock, AR 72205-6321
Mailing address
146 Blue Bayou Ests
Nashville, AR 71852-7465
Phone (870) 925-0606
Other practice location 1
800 Fair Park Blvd
Little Rock, AR 72204-1720
Phone (870) 925-0606
Other providers in Little Rock, AR
- James Paul Burton Jr.
- Jamie Burton
- Jasmin Nicole Burton
- Sanok Jessica Burton
- John Robert Busby
- Stacy Calloway Busby
- Jesse Bush
- Syreta Bush
- Thomas James Bush Jr.
- Samantha Bushey
All providers in Little Rock, AR · Physician Assistant in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.