Active NPI
Keyundra D Thompson
- Behavior Technician
- Arkadelphia, AR
National Provider Identifier
1124484332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-210369
- Practice address
- 702 Hickory St
Arkadelphia, AR 71923-5040 - Phone
- (870) 464-1337
- Fax
- (870) 464-1338
- NPI assigned
- Jan 5, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Behavior Technician | 106S00000X | RBT-22-210369 | AR | Primary |
Addresses
Primary practice location
702 Hickory St
Arkadelphia, AR 71923-5040
Mailing address
702 Hickory St
Arkadelphia, AR 71923-5040
Phone (870) 464-1337
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-22-210369 | AR | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650412800000",
"number": "1124484332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 HICKORY ST",
"city": "ARKADELPHIA",
"state": "AR",
"postal_code": "719235040",
"telephone_number": "870-464-1337",
"fax_number": "870-464-1338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 HICKORY ST",
"city": "ARKADELPHIA",
"state": "AR",
"postal_code": "719235040",
"telephone_number": "870-464-1337",
"fax_number": "870-464-1338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "KEYUNDRA",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-05",
"last_updated": "2022-04-20",
"certification_date": "2022-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "AR",
"license": "RBT-22-210369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arkadelphia, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.