NPIMap

Organization Active NPI

Kidspot Paragould Inc

  • Speech-Language Pathologist
  • Paragould, AR
National Provider Identifier
1114637865
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
KIDSPOT PARAGOULD INC
Practice address
2911 Linwood Dr
Paragould, AR 72450-7384
Phone
(870) 974-9114
NPI assigned
Dec 2, 2022
Organization subpart
Yes
Parent organization
KIDSPOT PARAGOULD INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Authorized official

Name
Shelly Tucker
Title
Co-Owner
Phone
(870) 930-5832

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

2911 Linwood Dr
Paragould, AR 72450-7384

Mailing address

1835 Grant Ave
Jonesboro, AR 72401-6155

National Provider Directory

National Provider Directory
Tax ID family
Kidspot Paragould Inc2 organizations share this tax ID, including this one
Part of
Kidspot Paragould Inc

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1669939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1114637865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 GRANT AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 LINWOOD DR",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724507384",
            "telephone_number": "870-974-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSPOT PARAGOULD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIDSPOT PARAGOULD INC",
        "enumeration_date": "2022-12-02",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "870-930-5832"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; 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.