Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Lindsey Jane Ponwith, APRN

Individual provider Family Nurse Practitioner · NPI 1104122803

Mrs. Lindsey Jane Ponwith, APRN is a Nurse Practitioner in Little Rock, Arkansas. Qualified in 2010, 16 years ago. Practices with Revive Health and Wellness of Arkansas PLLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arkansas and Arizona.

Years since qualifying
16
Licensed in
AR, AZ
In the registry since
2011
Specialties on file
3
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

8114 Cantrell Rd Ste 201
Little Rock, AR 72227-2421
Phone: (501) 779-8554
Fax: (501) 222-8034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3920 E Flower St, Phoenix, AZ 85018-6432 — (501) 580-6282

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence A03477 (AR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence A003477 (AR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 282083 (AZ)

Record details

NPI number1104122803
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJanuary 28, 2011
Last updated in NPPESDecember 13, 2025
Certification dateDecember 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Revive Health And Wellness Of Arkansas Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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