NPIMap

Organization Active NPI

Kids for the Future of Marion, Inc.

  • Registered Nurse
  • West Memphis, AR
National Provider Identifier
1043613623
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R076994 Issued in AR
Legal business name
KIDS FOR THE FUTURE OF MARION, INC.
Practice address
205 Ingram Blvd
West Memphis, AR 72301-3423
Phone
(870) 208-8362
NPI assigned
Sep 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elizabeth Ginty
Title
Ceo
Phone
(870) 208-8362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X R076994 AR Primary

Addresses

Primary practice location

205 Ingram Blvd
West Memphis, AR 72301-3423

Mailing address

205 Ingram Blvd
West Memphis, AR 72301-3423
Phone (870) 208-8362

National Provider Directory

National Provider Directory
Tax ID family
Kids for the Future of Marion Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411689600000",
    "number": "1043613623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 INGRAM BLVD",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013423",
            "telephone_number": "870-208-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 INGRAM BLVD",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013423",
            "telephone_number": "870-208-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS FOR THE FUTURE OF MARION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-26",
        "last_updated": "2014-09-26",
        "status": "A",
        "authorized_official_last_name": "GINTY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-208-8362"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R076994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Memphis, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.