Individual provider Active NPI

Kristin Dawn Keys, APRN-CNP, WHNP-BC

  • Women's Health Nurse Practitioner
  • Fayetteville, AR
National Provider Identifier
1962768994
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
122139 Issued in AR
Practice address
525 N Garland Ave
Fayetteville, AR 72701-3110
Phone
(479) 575-4478
Fax
(479) 575-2307
NPI assigned
Apr 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 142954 TX
Women's Health Nurse Practitioner 363LW0102X 53568 OK
Women's Health Nurse Practitioner 363LW0102X 122139 AR Primary

Addresses

Primary practice location

525 N Garland Ave
Fayetteville, AR 72701-3110

Mailing address

525 N Garland Ave
Fayetteville, AR 72701-3110
Phone (479) 575-4478

Other identifiers 1

IdentifierTypeStateIssuer
200424180AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120502000243 OK Practitioner - Nurse Practitioner 2365604600 Reassigns benefits to 1 organization
I20251114000087 TX Practitioner - Nurse Practitioner 2365604600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 Health Park Dr
Brentwood, TN 37027-4692

5323 Harry Hines Blvd
Dallas, TX 75390-7208

Merit-based Incentive Payment System (MIPS)

Final score
82.87 of 100Reported as group
Quality
70.15
Promoting interoperability
100
Improvement activities
40
Cost
72.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
122139ARMDWomen's Health Nurse Practitioner
142954TXMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Southwestern Medical Center at Dallas CurrentSince May 20, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince May 20, 2024 Accepting new patients
Medical City OB-GYN, PLLC CurrentSince Dec 1, 2025 Accepting new patients
Jay Williamson DO PC CurrentSince Aug 16, 2016 Accepting new patients
Congenital Heart Surgery Center PLLC Past Accepting new patients
Fort Worth Perinatal Associates, P.a. PastSince Dec 1, 2023 Accepting new patients

Locations

2448 E 81st St
Ste 1250
Tulsa, OK 74137
Phone (918) 982-6250

515 W Mayfield Rd
Ste 200
Arlington, TX 76014
Phone (817) 375-5847

6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 633-4700

7777 Forest Ln
Ste C300J
Dallas, TX 75230
Phone (972) 566-2043

5939 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 645-1919

7777 Forest Ln
Ste D1110
Dallas, TX 75230
Phone (214) 824-3200

2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563

2805 S Mayhill Rd
Denton, TX 76208
Phone 9405916700257

3025 N Tarrant Pkwy
Ste 380
Fort Worth, TX 76177
Phone (636) 357-6550

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1962768994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N GARLAND AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727013110",
            "telephone_number": "479-575-4478",
            "fax_number": "479-575-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N GARLAND AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727013110",
            "telephone_number": "479-575-4478",
            "fax_number": "479-575-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYS",
        "first_name": "KRISTIN",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "APRN-CNP, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-04",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "142954",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OK",
            "license": "53568",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AR",
            "license": "122139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200424180A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.