Individual provider Active NPI

Kimberly Joy Watson Chandler, AU.D.

  • Audiologist
  • North Little Rock, AR
National Provider Identifier
1386745875
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A#235 Issued in AR
Practice address
2200 Fort Roots Drive
126-NLR
North Little Rock, AR 72114
Phone
(501) 257-1412
Fax
(501) 257-1086
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A#235 AR Primary

Addresses

Primary practice location

2200 Fort Roots Drive
126-NLR
North Little Rock, AR 72114

Mailing address

6 Courtside PL
Little Rock, AR 72210-5676
Phone (501) 257-1412

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

LicenseStateTypeSpecialty
A#235ARMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1386745875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 COURTSIDE PL",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722105676",
            "telephone_number": "501-257-1412",
            "fax_number": "501-257-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 FORT ROOTS DRIVE",
            "address_2": "126-NLR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "72114",
            "telephone_number": "501-257-1412",
            "fax_number": "501-257-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON CHANDLER",
        "first_name": "KIMBERLY",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AR",
            "license": "A#235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.