| Kindra Daye Witkowski, APRN | |
|
1521 Merrill Drive, Suite D240, Little Rock, AR 72211-1821 | |
| (501) 664-3700 | |
| (501) 312-0694 |
| Full Name | Kindra Daye Witkowski |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 1521 Merrill Drive, Little Rock, Arkansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497484505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 220352 (Arkansas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 220352 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Centers Medical Clinic, Llc | 3870975865 | 3 |
| Entity Name | Ouachita Regional Counseling & Mental Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821087123 PECOS PAC ID: 7416853445 Enrollment ID: O20031210000795 |
| Entity Name | Centers for Youth and Families Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174617526 PECOS PAC ID: 4486996279 Enrollment ID: O20190426000876 |
| Entity Name | The Centers Medical Clinic, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518625201 PECOS PAC ID: 3870975865 Enrollment ID: O20230127000263 |
| Entity Name | Revive Health and Wellness |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114794385 PECOS PAC ID: 1759726060 Enrollment ID: O20240227000478 |
| Entity Name | Absolute Wellness |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265371744 PECOS PAC ID: 7113498395 Enrollment ID: O20260609000876 |
| Mailing Address | Practice Location Address |
|---|---|
| Kindra Daye Witkowski, APRN Po Box 9178, Russellville, AR 72811-9178 Ph: (501) 453-0509 | Kindra Daye Witkowski, APRN 1521 Merrill Drive, Suite D240, Little Rock, AR 72211-1821 Ph: (501) 664-3700 |
Tammie R Glover-brockinton, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4301 W Markham St # 853, Little Rock, AR 72205 Phone: 501-686-7000 |
Rachael Nichole Daugherty, APN/NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Saint Vincent Cir, Suite 210, Little Rock, AR 72205 Phone: 501-552-4777 Fax: 501-552-4482 |
Lauren Searcy, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Childrens Way, Little Rock, AR 72202 Phone: 501-364-1100 |
Mrs. Michelle Parish, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5700 W Markham St, Little Rock, AR 72205 Phone: 501-227-0184 |
Ashley Benton, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Chenal Heights Dr, Little Rock, AR 72223 Phone: 501-830-2271 |
Rachel Sloan, APRN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205 Phone: 501-686-8000 |
Elizabeth Fiser, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10025 W Markham St Ste 210, Little Rock, AR 72205 Phone: 501-663-5473 Fax: 501-801-1816 |