Active NPI
Erika Cecelia Kinman, FNP
- Family Nurse Practitioner
- Corinth, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 217357
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 903046 | MS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Arkansas Emergency Physicians, LLP | Nurse Practitioner | Current | Accepting new patients |
| Ich ER Services, LLC | Current | Accepting new patients | |
| Emergency Services of Montgomery PC | Nurse Practitioner | Current | Accepting new patients |
| South Arkansas Emergency Physicians LLP | Nurse Practitioner | Current | Accepting new patients |
| Paragon Contracting Services LLC | Nurse Practitioner | Current | Accepting new patients |
| Northwest Arkansas HBP Services LLC | Current | Accepting new patients | |
| Ies Arkansas PLLC | Current | 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.
-
- Emergency Medicine Physician
- Prattville, AL
- NPI 1528310323
Nurse Practitioner
-
- Emergency Medicine Physician
- Anderson, SC
- NPI 1174002059
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1598488090
-
- Emergency Medicine Physician
- Bentonville, AR
- NPI 1174285373
-
- Emergency Medicine Physician
- Birmingham, AL
- NPI 1225071459
Nurse Practitioner
-
- Emergency Medicine Physician
- El Dorado, AR
- NPI 1942435458
Nurse Practitioner
-
- Emergency Medicine Physician
- Siloam Springs, AR
- NPI 1225452055
Nurse Practitioner
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.