NPIMap

Organization Active NPI

Kidpro, LLC

  • Behavior Analyst
  • Nashville, TN
National Provider Identifier
1134644263
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
KIDPRO, LLC
Practice address
432 Melrose Ave
Nashville, TN 37211-2259
Phone
(615) 431-9776
Fax
(615) 864-0678
NPI assigned
Aug 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Authorized official

Name
Courtney Wright, PHD, CCC-SLPNPI 1770981854
Title
Owner
Phone
(615) 431-9776

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X TN Primary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X TN

Addresses

Primary practice location

432 Melrose Ave
Nashville, TN 37211-2259

Mailing address

432 Melrose Ave
Nashville, TN 37211-2259
Phone (615) 431-9776

Other names 1

  • KidPRO Former legal business name

National Provider Directory

National Provider Directory

Locations

432 Melrose Ave
Nashville, TN 37211
Phone (615) 431-9776

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1134644263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 MELROSE AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372112259",
            "telephone_number": "615-431-9776",
            "fax_number": "615-864-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 MELROSE AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372112259",
            "telephone_number": "615-431-9776",
            "fax_number": "615-864-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDPRO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-09",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-431-9776",
        "authorized_official_credential": "PHD, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KidPRO",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.

Verify at the official NPI Registry.