Active NPI
Precious Thornton
- Health Educator
- Little Rock, AR
National Provider Identifier
1336963271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 177288
- Practice address
- 18021 Fawn Tree Dr
Little Rock, AR 72210-7123 - Phone
- (870) 898-0376
- NPI assigned
- Nov 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | |||
| Professional Counselor | 101YP2500X | |||
| Health & Wellness Coach | 171400000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Voluntary or Charitable Agency | 251V00000X | |||
| Health Educator | 174H00000X | 177288 | AR | Primary |
Addresses
Primary practice location
18021 Fawn Tree Dr
Little Rock, AR 72210-7123
Mailing address
4813 Ridge Rd Ste 111
Douglasville, GA 30134-6167
Phone (870) 898-0376
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171400000X | Other | HEALTH AND WELLNESS COACH |
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 |
|---|---|---|---|
| 177288 | AR | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735862400000",
"number": "1336963271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4813 RIDGE RD STE 111",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301346167",
"telephone_number": "870-898-0376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18021 FAWN TREE DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722107123",
"telephone_number": "870-898-0376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNTON",
"first_name": "PRECIOUS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-07",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "AR",
"license": "177288",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AND WELLNESS COACH",
"identifier": "171400000X",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.