1. Home
  2. Directory
  3. Arkansas
  4. Rogers
  5. Licensed Practical Nurse
  6. NPI Profile

KELLIE NICOLE UNDERWOOD
NPI 1154925824
Licensed Practical Nurse in Rogers, AR

Active since November 24, 2020
3307 N DIXIELAND RD, ROGERS, AR 72756(479) 986-5150(479) 986-5191 Get Directions Write a Review

NPPES record last updated: November 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kellie Nicole Underwood NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLIE NICOLE UNDERWOOD (NPI 1154925824) is an individual licensed practical nurse in Rogers, Arkansas, licensed in Arkansas (122078) and active in the NPI registry since November 2020. She maintains a secondary practice location in Springdale.

NPPES Registry Identity

NPI1154925824
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKELLIE NICOLE UNDERWOOD
Location Address3307 N DIXIELAND RDRogers, AR 72756-6816
Mailing AddressPo Box 130Rogers, AR 72757-0130 · (479) 986-5150 · Fax (479) 986-5191
Phone(479) 986-5150
Fax(479) 986-5191
Sole ProprietorYes
Enumeration DateNovember 24, 2020
NPPES CertifiedNovember 24, 2020
✔ NPI 1154925824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in AR · 122078
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
3307 N DIXIELAND RD, Rogers, AR 72756
Open in Google Maps ↗

Other Names 1

Former Name (1)Kellie Nicole Buckner

Secondary Practice Location 1

Location 12210 Main DrSpringdale, AR 72762-6802 · Phone (479) 856-6397

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN ROUTH D.P.T
Physical Therapist
3307 N DIXIELAND RD
ROGERS, AR 72756
Benton County (479) 986-5150
MRS. TORI DILBECK
Occupational Therapy Assistant
3307 N DIXIELAND RD
ROGERS, AR 72756
Benton County (479) 986-5150
JEREMY WILLIS
Speech-Language Pathologist
3307 N DIXIELAND RD
ROGERS, AR 72756
Benton County (479) 986-5150
ASHLEY NEWELL
Licensed Practical Nurse
3307 N DIXIELAND RD
ROGERS, AR 72756
Benton County (479) 986-5150
HANNAH BALDRIDGE
Speech-Language Pathologist
3307 N DIXIELAND RD
ROGERS, AR 72756
Benton County (479) 986-5150
DEANA HORN
Occupational Therapy Assistant
3307 N DIXIELAND RD
ROGERS, AR 72756
Benton County (479) 986-5150
MARY ROHR
Speech-Language Pathologist
3307 N DIXIELAND RD
ROGERS, AR 72756
Benton County (479) 986-5150
MRS. TINA LOUISE PATRICK LPN
Licensed Practical Nurse
3307 N DIXIELAND RD
ROGERS, AR 72756
Benton County (479) 986-5150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kellie Underwood's NPI number?

The NPI number for Kellie Underwood is 1154925824. It was assigned to this individual provider in the NPPES registry on November 24, 2020. The provider is also known as Kellie Nicole Buckner.

Where is Kellie Underwood located?

Kellie Underwood practices at 3307 N Dixieland Rd, Rogers, AR 72756. The listed phone number is (479) 986-5150.

What is Kellie Underwood's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kellie Underwood was last updated on November 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.