NPIMap

Organization Active NPI

Kids Source, Inc.

  • Early Intervention Provider Agency
  • Zionsville, IN
National Provider Identifier
1235214735
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
200724480A Issued in IN
Legal business name
KIDS SOURCE, INC.
Practice address
260 Beechwood LN
Zionsville, IN 46077-1213
Phone
(317) 873-6952
Fax
(317) 873-6952
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Mrs. Patricia Martin-Brown, M.S., NCSPNPI 1184709677
Title
President
Phone
(317) 873-6952

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
Early Intervention Provider Agency 252Y00000X 200724480A IN Primary

Addresses

Primary practice location

260 Beechwood LN
Zionsville, IN 46077-1213

Mailing address

260 Beechwood LN
Zionsville, IN 46077-1213
Phone (317) 873-6952

Other identifiers 1

IdentifierTypeStateIssuer
200724480AOtherINFIRST STEPS PROVIDER NO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1235214735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 BEECHWOOD LN",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771213",
            "telephone_number": "317-873-6952",
            "fax_number": "317-873-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 BEECHWOOD LN",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771213",
            "telephone_number": "317-873-6952",
            "fax_number": "317-873-6952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS SOURCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "MARTIN-BROWN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-873-6952",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., NCSP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IN",
            "license": "200724480A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST STEPS PROVIDER NO",
            "identifier": "200724480A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zionsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.