Individual provider Active NPI

Keiah Hunt, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Jonesboro, AR
National Provider Identifier
1982938205
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
216129 Issued in AR
Practice address
1150 E Matthews Ave Ste a
Jonesboro, AR 72401-4346
Phone
(870) 243-0424
Fax
(534) 248-4225
NPI assigned
Sep 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 216129 AR Primary

Addresses

Primary practice location

1150 E Matthews Ave Ste a
Jonesboro, AR 72401-4346

Mailing address

5537 Bleaux Ave
Springdale, AR 72762-0737
Phone (479) 872-5580

Other practice location 1

2407 Linwood Dr Ste 8
Paragould, AR 72450-6206
Phone (870) 565-9600

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210614000008 AR Practitioner - Nurse Practitioner 6103226188 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Renew Mental Health and Wellness LLCGroup PAC ID 0345574737, 24 clinicians
Gracepoint Psychiatry and Therapy Services LLCGroup PAC ID 8123460417, 2 clinicians

Practice addresses (Care Compare)

1150 E Matthews Ave
Suite 101a
Jonesboro, AR 72401-4356
Phone (870) 243-0424

2407 Linwood Dr
Suite 8
Paragould, AR 72450-6206
Phone (870) 565-9600

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gracepoint Psychiatry & Therapy Services LLC Counselor CurrentSince May 10, 2024 Accepting new patients
Renew Mental Health and Wellness, LLC CurrentSince Jun 4, 2021 Accepting new patients
Renew Mental Health and Wellness LLC Psychiatric/Mental Health CurrentSince Jun 4, 2021 Accepting new patients

Locations

1150 E Matthews Ave
Ste 101A
Jonesboro, AR 72401
Phone (870) 243-0424

2815 Longview Dr
Jonesboro, AR 72401
Phone (870) 203-9857

2407 Linwood Dr
Ste 8
Paragould, AR 72450
Phone (870) 565-9600

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1982938205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5537 BLEAUX AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620737",
            "telephone_number": "479-872-5580",
            "fax_number": "479-872-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 E MATTHEWS AVE STE A",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014346",
            "telephone_number": "870-243-0424",
            "fax_number": "534-248-4225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2407 Linwood Dr Ste 8",
            "address_purpose": "LOCATION",
            "city": "Paragould",
            "state": "AR",
            "postal_code": "724506206",
            "country_code": "US",
            "telephone_number": "870-565-9600",
            "fax_number": "800-331-2903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNT",
        "first_name": "KEIAH",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-21",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "216129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.