Individual provider Active NPI

Erika Cecelia Kinman, FNP

  • Family Nurse Practitioner
  • Corinth, MS
National Provider Identifier
1952867574
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
217357 Issued in AR
Practice address
611 Alcorn Dr
Corinth, MS 38834-9388
Phone
(662) 293-1000
NPI assigned
Feb 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 217357 AR
Nurse Practitioner 363L00000X 903046 MS
Family Nurse Practitioner 363LF0000X 217357 AR Primary

Addresses

Primary practice location

611 Alcorn Dr
Corinth, MS 38834-9388

Mailing address

910 Holly Hill Dr
Tupelo, MS 38801-2362
Phone (479) 647-6019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
903046MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Arkansas Emergency Physicians, LLP Nurse Practitioner CurrentSince Aug 25, 2021 Accepting new patients
Ich ER Services, LLC CurrentSince Jul 15, 2020 Accepting new patients
Emergency Services of Montgomery PC Nurse Practitioner CurrentSince Jun 1, 2021 Accepting new patients
South Arkansas Emergency Physicians LLP Nurse Practitioner CurrentSince Aug 25, 2021 Accepting new patients
Paragon Contracting Services LLC Nurse Practitioner CurrentSince Jun 14, 2021 Accepting new patients
Northwest Arkansas HBP Services LLC CurrentSince Feb 1, 2022 Accepting new patients
Ies Arkansas PLLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

1580 E Centerton Blvd
Bentonville, AR 72712
Phone (479) 553-2150

3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524

1255 S Shiloh Dr
Fayetteville, AR 72701
Phone (479) 757-1760

3873 N Parkview Dr
Fayetteville, AR 72703
Phone (479) 527-0050

603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000

609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

318 Maxwell Rd
Ste 500
Alpharetta, GA 30009
Phone (770) 274-0473

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1952867574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 HOLLY HILL DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388012362",
            "telephone_number": "479-647-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 ALCORN DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349388",
            "telephone_number": "662-293-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINMAN",
        "first_name": "ERIKA",
        "middle_name": "CECELIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-19",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "217357",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "903046",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "217357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

Verify at the official NPI Registry.