NPIMap

Organization Active NPI

Kidworx Academy

  • Registered Dietitian
  • Harrison, AR
National Provider Identifier
1285911768
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1030103 Issued in AR
Legal business name
KIDWORX ACADEMY
Practice address
816 N Main St
Harrison, AR 72601-2915
Phone
(870) 204-6191
NPI assigned
Nov 10, 2011
Last updated
Nov 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Authorized official

Name
Vickey Richardson
Title
Director
Phone
(870) 204-6191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1030103 AR Primary

Addresses

Primary practice location

816 N Main St
Harrison, AR 72601-2915

Mailing address

816 N Main St
Harrison, AR 72601-2915
Phone (870) 204-6191

National Provider Directory

National Provider Directory
Tax ID family
Kidworx Academy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1285911768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 N MAIN ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012915",
            "telephone_number": "870-204-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 N MAIN ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012915",
            "telephone_number": "870-204-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDWORX ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-10",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "VICKEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "870-204-6191"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AR",
            "license": "1030103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.