Kayla Tedder

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8229-M Issued in AR

Practice address

2910 S 8TH St
Rogers, AR 72758-1031

Phone

(479) 636-4198

NPI assigned

Jan 20, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kayla Schatzman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Samaritan House Community Center

  • General Practice Dentistry
  • Rogers, AR
  • NPI 1386370559
  NPD
• Samaritan House Community Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rogers, AR
  • NPI 1932953809
  NPD

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1407561756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 939",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727570939",
            "telephone_number": "479-636-4198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 S 8TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581031",
            "telephone_number": "479-636-4198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDDER",
        "first_name": "KAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-20",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "8229-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "SCHATZMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Margaret Taylor, LCSW
• Monica Bryn Taylor, PT, DPT
• Whitney Taylor, MD
• Karen Kaye Taymore, APN
• TBD Labs, LLC
• Teen Focused Counseling LLC
• Ruben Tejada, M.D.
• Elijah Rosevic Temple
• Kaitlyn Carley Terrell, NP-C
• Aaron Teufel

• Clinical Social Worker in Rogers, AR
• Providers in Rogers, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.