Organization Active NPI

Kid Connections, Inc

  • Case Management Agency
  • Idaho Falls, ID
National Provider Identifier
1215136932
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
KID CONNECTIONS, INC
Practice address
4383 W 49TH S
Idaho Falls, ID 83402-5726
Phone
(208) 528-6051
NPI assigned
Jul 12, 2007
Last updated
Jul 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
Ms. Sarah Lynn Russell, LSW
Title
Social Worker/Owner
Phone
(208) 528-6051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

4383 W 49TH S
Idaho Falls, ID 83402-5726

Mailing address

4383 W 49TH S
Idaho Falls, ID 83402-5726
Phone (208) 528-6051

Other identifiers 1

IdentifierTypeStateIssuer
8073815MedicaidID

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1215136932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4383 W 49TH S",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834025726",
            "telephone_number": "208-528-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4383 W 49TH S",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834025726",
            "telephone_number": "208-528-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KID CONNECTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SOCIAL WORKER/OWNER",
        "authorized_official_telephone_number": "208-528-6051",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8073815",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.