Individual provider Active NPI

Katrina Nicole Gallivan, APRN

  • Family Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1972055184
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
223712 Issued in AR
Practice address
13501 Chenal Pkwy Ste 101
Little Rock, AR 72211-5262
Phone
(501) 239-9146
NPI assigned
Nov 4, 2016
Last updated
May 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 223712 AR Primary

Addresses

Primary practice location

13501 Chenal Pkwy Ste 101
Little Rock, AR 72211-5262

Mailing address

500 S University Ave Ste 600
Little Rock, AR 72205-5324

Other names 1

  • Katrina Norman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, AR, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20170201001085 OK Practitioner - Nurse Practitioner 8325321128 Reassigns benefits to 3 organizations
I20240826000082 AR Practitioner - Nurse Practitioner 8325321128 Reassigns benefits to 3 organizations
I20260508001090 TX Practitioner - Nurse Practitioner 8325321128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Integrity Arkansas, PAGroup PAC ID 5496161945, 9 clinicians

Practice addresses (Care Compare)

13501 Chenal Pkwy
Suite 101
Little Rock, AR 72211-5262
Phone (501) 251-1733

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care Arkansas, P.a. CurrentSince Aug 1, 2024 Accepting new patients
Nextgen Sleep LLC CurrentSince Jul 1, 2017 Accepting new patients
Urgent Team of Arkansas Physicians, LLC CurrentSince May 9, 2025 Accepting new patients
Medexpress Urgent Care Arkansas, P.a. CurrentSince Aug 1, 2024 Accepting new patients
Brandi Kammerer PLLC Family CurrentSince Jan 4, 2017 Accepting new patients
Wound Integrity Arkansas PA CurrentSince Feb 18, 2026 Accepting new patients
Mercy Oklahoma Ambulatory Services LLC CurrentSince Jul 29, 2019 Accepting new patients
Urgent Team of Arkansas Physicians, LLC CurrentSince May 9, 2025 Accepting new patients
Summit Medical Center Past Accepting new patients
Mercy Hospital Oklahoma City, Inc Past Accepting new patients
Medexpress Urgent Care Arkansas, P.a. PastSince Sep 29, 2024 Accepting new patients

Locations

1501 Military Rd
Benton, AR 72015
Phone (501) 776-8341

824 Military Rd
Benton, AR 72015
Phone (501) 574-3019

13501 Chenal Pkwy
Ste 101
Little Rock, AR 72211
Phone (501) 239-9146

123 Audubon Dr
Ste 600
Maumelle, AR 72113
Phone (501) 734-0251

511 W Main St
Russellville, AR 72801
Phone (479) 223-5130

1160 S 40th St
Springdale, AR 72762
Phone (479) 750-2971

1380 W Covell Rd
Ste 132
Edmond, OK 73003
Phone (405) 279-9637

12220 N MacArthur Blvd
Ste D
Oklahoma City, OK 73162
Phone (405) 437-1100

2716 SW 44th St
Oklahoma City, OK 73119
Phone (405) 682-0801

3418 NW 135th St
Oklahoma City, OK 73120
Phone (405) 286-1075

423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8213/brand/3/csg/1/fhir/r4
  • Direct secure messaging: katrina.norman@avera.sdhealthlink.net
  • Direct secure messaging: knorman1032032@directc.mercy.net

Organizations & group practices 12

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": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1972055184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE STE 600",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13501 CHENAL PKWY STE 101",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722115262",
            "telephone_number": "501-239-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLIVAN",
        "first_name": "KATRINA",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-04",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "223712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "NORMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.