Active NPI
Camille Lindholm
- Behavior Technician
- Springdale, AR
National Provider Identifier
1053043752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 6836 Isaacs Orchard Rd
Springdale, AR 72762-6096 - Phone
- (479) 927-4100
- Fax
- (479) 927-4101
- NPI assigned
- Jun 30, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | AR | Primary |
Addresses
Primary practice location
6836 Isaacs Orchard Rd
Springdale, AR 72762-6096
Mailing address
6836 Isaacs Orchard Rd
Springdale, AR 72762-6096
Phone (479) 927-4100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 284510706 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Support Network, Inc | Current | Accepting new patients | |
| Arkansas Support Network | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Case Management Agency
- Springdale, AR
- NPI 1720601412
-
- Developmentally Disabled Services Day Training Agency
- Springdale, AR
- NPI 1508190273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656547200000",
"number": "1053043752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6836 ISAACS ORCHARD RD",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727626096",
"telephone_number": "479-927-4100",
"fax_number": "479-927-4101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6836 ISAACS ORCHARD RD",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727626096",
"telephone_number": "479-927-4100",
"fax_number": "479-927-4101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDHOLM",
"first_name": "CAMILLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-30",
"last_updated": "2022-06-30",
"certification_date": "2022-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "AR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "284510706",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.