Individual provider Active NPI

Lauren Kristine Poindexter, M.D.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Fayetteville, AR
National Provider Identifier
1982082038
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
E-14572 Issued in AR
Practice address
201 West Van Asche Dr
Fayetteville, AR 72703
Phone
(479) 966-4491
NPI assigned
May 9, 2015
Last updated
Sep 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 304324 NY
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X E-14572 AR Primary

Addresses

Primary practice location

201 West Van Asche Dr
Fayetteville, AR 72703

Mailing address

PO Box 8126
Fayetteville, AR 72703-0003
Phone (479) 935-3062

Other practice location 1

555 1st Ave
New York, NY 10016-6407
Phone (212) 263-5506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210910002719 AR Practitioner - Sports Medicine 4587956719 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Virginia Tech Carilion School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Francis House Nwa, Inc.Group PAC ID 0042262495, shared by 27 NPIs, 67 clinicians

Practice addresses (Care Compare)

451 S Holly St
Siloam Springs, AR 72761-3018
Phone (479) 524-3141

614 E Emma Ave
300 Community Clinic Springdale
Springdale, AR 72764-4469
Phone (479) 751-7417

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Sep 2, 2021 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jun 3, 2022 Accepting new patients
St Francis House Nwa, Inc CurrentSince Mar 17, 2025 Accepting new patients
University of Arkansas for Medical Sciences Current Accepting new patients
St Francis House Nwa, Inc CurrentSince Mar 17, 2025 Accepting new patients
St Francis House Nwa, Inc CurrentSince Mar 17, 2025 Accepting new patients
St. Francis House Nwa, Inc CurrentSince Mar 17, 2025 Accepting new patients
Arkansas Children's Hospital CurrentSince Jun 3, 2022 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Sep 2, 2021 Accepting new patients
University of Arkansas for Medical Sciences Current Accepting new patients
Arkansas Childrens Hospital CurrentSince Jun 3, 2022 Accepting new patients
University of Arkansas CurrentSince Jan 6, 2023 Accepting new patients
St Francis House Nwa, Inc Current Accepting new patients
St. Francis House Nwa, Inc. Past Accepting new patients

Locations

525 N Garland Ave
Fayetteville, AR 72701
Phone (479) 575-4451

1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

1 Childrens Way
Ste 653
Little Rock, AR 72202

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

451 S Holly St
Siloam Springs, AR 72761
Phone (479) 524-3141

610 E Emma Ave
Ste C
Springdale, AR 72764

614 E Emma Ave
Ste 300
Springdale, AR 72764
Phone (479) 751-4898

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1431129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1982082038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8126",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727030003",
            "telephone_number": "479-935-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WEST VAN ASCHE DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "72703",
            "telephone_number": "479-966-4491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 1st Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100166407",
            "country_code": "US",
            "telephone_number": "212-263-5506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POINDEXTER",
        "first_name": "LAUREN",
        "middle_name": "KRISTINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-09",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NY",
            "license": "304324",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "AR",
            "license": "E-14572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.