Kristin Parker, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Little Rock, AR
NPI 1962296475 · NPPES record last updated Apr 8, 2025
Key facts
- NPI
- 1962296475
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 4301 W Markham St # 552
Little Rock, AR 72205-7101 - Phone
- (501) 603-1595
- NPI assigned
- Apr 8, 2025
- Sex
- Female
- Sole proprietor
- Yes
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250625001789 | AR | Order and Referring Only - Diagnostic Radiology |
5698287688 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
4301 W Markham St # 552
Little Rock, AR 72205-7101
Mailing address
1205 W 28TH St
Little Rock, AR 72206-2817
Phone (615) 540-6517
Other providers in Little Rock, AR
- Jessie Leigh Parker
- Jordan Parker
- Kaitlin Beth Parker
- Kaitlin Rheane' Parker
- Kelvin Vashaughn Parker Sr.
- Lakeisha Parker
- Linda K.M. Parker
- Matthew Martin Parker
- Memory Parker
- Mercades M Parker
All providers in Little Rock, AR · Student in an Organized Health Care Education/Training Program 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 8, 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.