KIRSTEN LEIGH KRAVITZ (NPI# 1124120548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124120548 |
| Entity Type | Individual |
| Full Name | KIRSTEN LEIGH KRAVITZ |
| Other Name | KRISTEN LEIGH ANDERSEN |
| Credential | MSN CPNP |
| Practice Address |
2505 College Ave Conway AR 72034-6135 |
| Practice Telephone | 5013276000 |
| Practice Fax Number | 5014507559 |
| Mailing Telephone | 5013276000 |
| Mailing Fax Number | 5014507559 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2011-12-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | A01820 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 159169758 | 05 |
| Street Address |
2505 COLLEGE AVE |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-6135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427039049 | Kelly A Staley | Pediatrics | 2505 College Ave, Conway, AR 72034-6135 | 2005-11-10 |
| 1740713650 | Linda Christine Post | Nurse Practitioner | 2505 College Ave, Conway, AR 72034 | 2017-04-07 |
| 1801125216 | Deborah S Wingfield | Pediatrics | 2505 College Ave, Conway, AR 72034 | 2009-12-14 |
| 1114256872 | Lisa J. Martin | Pediatrics | 2505 College Ave, Conway, AR 72034 | 2009-12-09 |
| 1407099385 | Chris Killingsworth | Student in an Organized Health Care Education/Training Program | 2505 College Ave, Conway, AR 72034-6135 | 2009-04-08 |
| 1033170261 | Conway Childrens Clinic Pa Corp | Pediatrics | 2505 College Ave, Conway, AR 72034 | 2006-03-29 |
| 1407838121 | Rhonda J Holland | Pediatrics | 2505 College Ave, Conway, AR 72034 | 2005-11-17 |
| 1316929037 | Dawn S Sutherland | Pediatrics | 2505 College Ave, Conway, AR 72034-6135 | 2005-11-17 |
| 1336120955 | Judy M Michaels | Pediatrics | 2505 College Ave, Conway, AR 72034-6135 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
| 1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| Find all providers in zip 72034 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871106955 | Ashley Buntura | Nurse Practitioner | 224 Haley Brooke Dr, Conway, SC 29526-6399 | 2020-08-28 |
| 1861986556 | Cynthia Mcgee | Nurse Practitioner | White Mountain Community Health Center, 298 White Mountain Highway, Conway, NH 03818 | 2018-06-18 |
| 1336682780 | Kimberly Marie Jackson | Nurse Practitioner | 128 Professional Park Dr Unit B, Conway, SC 29526-9260 | 2016-12-02 |
| 1912320946 | Jamie Zimmerman | Nurse Practitioner | 222 E Dave Ward Dr, Conway, AR 72032-7120 | 2014-01-27 |
| 1407170889 | Adrienne Friedly | Nurse Practitioner | 2100 Meadowlake Rd, Suite 10, Conway, AR 72032-2561 | 2010-03-15 |
| 1699955880 | Conway Hospital, Inc. | Nurse Practitioner | 2376 Cypress Cir, Ste 203, Conway, SC 29526-8994 | 2007-11-06 |
| 1437258191 | Deborah L Hipp | Nurse Practitioner | 152 Waccamaw Medical Park Dr, Conway, SC 29526-8901 | 2006-09-21 |
| 1942317037 | Donna P Evans | Nurse Practitioner | 834 Farrar Dr, Conway, SC 29526-8747 | 2006-08-24 |
| 1437116241 | Michele Lively | Nurse Practitioner | 1301 Creel St, Conway, SC 29527-5018 | 2006-04-26 |
| 1699763441 | Reda Denise Reed | Nurse Practitioner | 1700 Altus St, Ste 110, Conway, AR 72032-4299 | 2005-10-06 |
| Find all providers in CONWAY | ||||
Please comment or provide details below to improve the information on KIRSTEN LEIGH KRAVITZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.