CHENAL FAMILY PRACTICE (NPI# 1013066513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013066513 |
| Entity Type | Organization |
| Organization Name | CHENAL FAMILY PRACTICE |
| Practice Address |
11215 Hermitage Rd Ste 103 Little Rock AR 72211-3863 |
| Practice Telephone | 5012191929 |
| Practice Fax Number | 5012190021 |
| Mailing Telephone | 5012191929 |
| Mailing Fax Number | 5012190021 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2010-11-03 |
| Authorized Official Name | DR. ROBERT BRUCE KENNEDY (DOCTOR) |
| Authorized Official Telephone | 5012191929 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
1398 | AR | Ambulatory Health Care Facilities |
| Street Address |
11215 HERMITAGE RD STE 103 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72211-3863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770515322 | Tullos Louis Franks IIi | Social Worker | 11215 Hermitage Rd, Suite 200, Little Rock, AR 72211-3809 | 2006-07-06 |
| 1144628983 | Kj Medical Management | General Practice | 11215 Hermitage Rd, Ste 201, Little Rock, AR 72211-3809 | 2014-12-10 |
| 1346474483 | Traci Watson Howe | Nurse Practitioner | 11215 Hermitage Rd, Little Rock, AR 72211-3809 | 2009-05-04 |
| 1780744870 | Robert Bruce Kennedy | Family Medicine | 11215 Hermitage Rd, Suite 103, Little Rock, AR 72211-3809 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760004618 | Samantha Lenore Hilborn | Behavior Technician | 1525 Merrill Drive Suite 100, Little Rock, AR 72211 | 2020-05-14 |
| 1003437740 | Centers for Youth and Families, Inc. | Community/Behavioral Health | 1521 Merrill Drive, Suite D220 and E200, Little Rock, AR 72211 | 2020-05-05 |
| 1962040568 | Erica N Taylor | Nurse Practitioner | 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 | 2019-12-13 |
| 1568932119 | Katie Jones | Nurse Practitioner | 1children's Way, Little Rock, AR 72211 | 2018-11-27 |
| 1356828651 | Kayleigh King | Dietitian, Registered | 4 Shackleford Plz Ste 209, Little Rock, AR 72211 | 2018-07-19 |
| 1699283838 | Kara Elizabeth Simmons | Physician Assistant | 11215 Hermitage Rd Ste 103, Little Rock, AR 72211 | 2018-01-22 |
| 1194241463 | Wendy Newsam Pllc | Counselor | 1 Innwood Circle, Suite 107, Little Rock, AR 72211 | 2017-08-18 |
| 1861915159 | Sarah Renee Beall | Counselor | 10800 Financial Centre #290, Little Rock, AR 72211 | 2017-07-19 |
| 1457873127 | Restore Hope Counseling Center, Pllc | Counselor | One Innwood Circle, Suite 201, Little Rock, AR 72211 | 2017-07-13 |
| 1447707500 | University of Arkansas for Medical Sciences | Durable Medical Equipment & Medical Supplies | 601 Autumn Road, Little Rock, AR 72211 | 2016-09-07 |
| Find all providers in zip 72211 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700853553 | Cornerstone Clinic for Women | Clinic/Center | 9500 Baptist Health Dr Ste 100, Little Rock, AR 72205-6319 | 2006-03-01 |
| 1437688272 | Rheumatology Partners Pllc | Clinic/Center | 9101 Kanis Rd Ste 200, Little Rock, AR 72205-6455 | 2017-06-06 |
| 1215341201 | Hot Springs Surgery Clinic Pa | Clinic/Center | 11001 Executive Center Dr, Suite 200, Little Rock, AR 72211-4316 | 2014-06-17 |
| 1023381738 | St. Vincent Infirmary Medical Center | Clinic/Center | 10100 Kanis Rd, Little Rock, AR 72205-6202 | 2012-02-13 |
| 1184956351 | May Women's Health Clinic | Clinic/Center | 500 S University Ave, Suite 305, Little Rock, AR 72205-5302 | 2010-02-12 |
| 1346485141 | Margaret A West, Md, Pllc | Clinic/Center | 9601 Lile Dr, Suite 970, Little Rock, AR 72205-6321 | 2008-12-08 |
| 1356482228 | Arkansas Cardiovascular Surgery Associates,p.a. | Clinic/Center | 9601 Lile Dr, Suite 200, Little Rock, AR 72205-6321 | 2007-02-12 |
| 1104994326 | Little Rock Surgical Clinic | Clinic/Center | 500 S University Ave, Suite 317, Little Rock, AR 72205-5302 | 2006-12-04 |
| 1891704524 | Central Arkansas Reproductive Endocrinology Group, Pllc | Clinic/Center | 9101 Kanis Rd, Suite 300, Little Rock, AR 72205-6417 | 2006-08-05 |
| 1477569218 | Arkansas Epilepsy Program | Clinic/Center | 2 Lile Ct, S-100, Little Rock, AR 72205-6221 | 2006-08-01 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72211 |
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| 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.