NPIMap

Organization Active NPI

Creative Kids After School Enrichment

  • Community/Behavioral Health Agency
  • Kannapolis, NC
National Provider Identifier
1114571320
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CREATIVE KIDS AFTER SCHOOL ENRICHMENT
Practice address
529 Black Maple Dr
Kannapolis, NC 28081-5880
Phone
(980) 428-4851
NPI assigned
Jul 25, 2019
Last updated
Jul 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Authorized official

Name
Jackie Payne-McGeeNPI 1427617745
Title
Owner/Director
Phone
(980) 428-4851

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

529 Black Maple Dr
Kannapolis, NC 28081-5880

Mailing address

529 Black Maple Dr
Kannapolis, NC 28081-5880
Phone (980) 428-4851

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1114571320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 BLACK MAPLE DR",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280815880",
            "telephone_number": "980-428-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 BLACK MAPLE DR",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280815880",
            "telephone_number": "980-428-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE KIDS AFTER SCHOOL ENRICHMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "PAYNE-MCGEE",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "980-428-4851"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kannapolis, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.