Individual provider Active NPI

Christopher Ryan Kennedy, CRNA

  • Certified Registered Nurse Anesthetist
  • Fayetteville, AR
National Provider Identifier
1922530807
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
C003186 Issued in AR
Practice address
3215 N Northhills Blvd
Fayetteville, AR 72703-4424
Phone
(479) 263-8669
NPI assigned
Mar 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X C003186 AR Primary

Addresses

Primary practice location

3215 N Northhills Blvd
Fayetteville, AR 72703-4424

Mailing address

21 Turtle Creek Dr
Texarkana, AR 71854-8373
Phone (903) 276-8324

Other practice location 1

4301 W Markham St # 515
Little Rock, AR 72205-7101
Phone (501) 686-6114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170629000651 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335418607 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical GroupGroup PAC ID 5698758803, 237 clinicians
Premier Anesthesia of Arkansas Professional CorporationGroup PAC ID 6406077460, 87 clinicians
University of Arkansas for Medical SciencesGroup PAC ID 4082528955, 1,159 clinicians
Central Arkansas Radiation Therapy Institute IncGroup PAC ID 7810068400, 89 clinicians

Practice addresses (Care Compare)

2 Saint Vincent Cir
Little Rock, AR 72205-5423
Phone (501) 552-4666

3215 N N Hills Blvd
Fayetteville, AR 72703-4424
Phone (479) 463-1000

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

8901 Carti Way
Little Rock, AR 72205-6523
Phone (501) 906-3000

Hospital & facility affiliations

  • St Vincent Medical Center/North Hospital, Sherwood, AR, CCN 040137
  • CHI-St Vincent Infirmary Hospital, Little Rock, AR, CCN 040007
  • Washington Regional Medical Center Hospital, Fayetteville, AR, CCN 040004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
C003186ARMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences Current Accepting new patients
Arkansas Surgical Hospital, LLC CurrentSince Aug 15, 2025 Accepting new patients
Orthoarkansas, PA CurrentSince Nov 21, 2024 Accepting new patients
Central Arkansas Radiation Therapy Institute Inc CurrentSince Jun 1, 2025 Accepting new patients
Central Arkansas Radiation Therapy Institute Inc CurrentSince Jun 1, 2025 Accepting new patients
Premier Anesthesia of Arkansas Professional Corporation Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2017 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Apr 15, 2025 Accepting new patients
St. Vincent Medical Group CurrentSince Aug 6, 2024 Accepting new patients
Lifelinc Anesthesia V, P.a. Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2021 Accepting new patients
Orthoarkansas, PA CurrentSince Nov 21, 2024 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Apr 15, 2025 Accepting new patients

Locations

353 Cash Rd SW
Camden, AR 71701
Phone (870) 836-8101

2500 Highway 65 S
Clinton, AR 72031
Phone (501) 745-7000

3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

8901 Carti Way
Little Rock, AR 72205
Phone 50190630003044

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

16221 Saint Vincent Way
Little Rock, AR 72223
Phone (501) 221-0888

2 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 552-2680

6119 Midtown Ave
Ste 101
Little Rock, AR 72205
Phone (501) 404-8007

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

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

1811 Rahling Rd
Ste 120
Little Rock, AR 72223
Phone (501) 214-2360

5201 Northshore Dr
Ste 300
North Little Rock, AR 72118
Phone (501) 748-8000

2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804

3340 Players Club Pkwy
Ste 350
Memphis, TN 38125
Phone (901) 207-2017

Organizations & group practices 11

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1922530807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 TURTLE CREEK DR",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718548373",
            "telephone_number": "903-276-8324"
        },
        {
            "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": "479-263-8669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 W Markham St # 515",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-686-6114",
            "fax_number": "501-686-8139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "CHRISTOPHER",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-30",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C003186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.

Verify at the official NPI Registry.