SHANNON ADKINS KALKWARF CNP NPI 1225261779

NPI Information

NPI: 1225261779
Provider Name: SHANNON ADKINS KALKWARF, CNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: UNIVERSITY OF ARKANSAS

PECOS Registration: Yes

Address:
4301 W MARKHAM ST # 783
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 686-8000
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Shannon Adkins Kalkwarf, CNP is a family nurse practitioner in Little Rock, AR with 3 years of experience. Shannon Adkins Kalkwarf, CNP NPI is 1225261779. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:2021

The provider's business location address is:

4301 W MARKHAM ST # 783
LITTLE ROCK, AR
ZIP 72205-101
Phone: (501) 686-8000

The NPI 1225261779 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/1/2009 and was last updated on 9/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	A003296	ARKANSAS	Yes
2	363L00000X	Nurse Practitioner		A03296	ARKANSAS	No
3	363LF0000X	Nurse Practitioner	Family	AP130912	TEXAS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	179910758	MEDICAID	ARKANSAS
2	5R605	OTHER	ARKANSAS	BCBS
3	5V3197113	OTHER	ARKANSAS	MEDICARE CUMG GROUP
4	5V3197666	OTHER	ARKANSAS	MEDICARE FOR MCPG GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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