Active NPI
Kaley Cronin
- Case Manager/Care Coordinator
- Springdale, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 2400 S 48TH St
Springdale, AR 72762-6683 - Phone
- (479) 750-2020
- NPI assigned
- Mar 22, 2016
- Last updated
- Mar 10, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OT-A 1079 | AR | |
| Case Manager/Care Coordinator | 171M00000X | NU | Primary |
Addresses
Primary practice location
2400 S 48TH St
Springdale, AR 72762-6683
Mailing address
1515 Highway 71 NW
Mountainburg, AR 72946-3512
Phone (479) 652-7170
Other practice location 1
115 Pointer Trl W
Van Buren, AR 72956-2236
Phone (479) 471-1290
Other practice location 2
2701 T P White Dr
Jacksonville, AR 72076-2514
Phone (501) 241-0410
Other practice location 3
105 S Blair St
Springdale, AR 72764-4410
Phone (479) 259-2339
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 |
|---|---|---|---|
| OT-A 1079 | AR | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Spot LLC | Past | Accepting new patients | |
| Arkansas Pediatric Therapy | Past | Accepting new patients | |
| Arkansas Pediatric Therapy | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavior Analyst
- Van Buren, AR
- NPI 1871348466
-
- Clinic/Center
- Van Buren, AR
- NPI 1922134972
-
- Physical Therapy Clinic/Center
- Springdale, AR
- NPI 1174845358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1417319385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 HIGHWAY 71 NW",
"city": "MOUNTAINBURG",
"state": "AR",
"postal_code": "729463512",
"telephone_number": "479-652-7170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 S 48TH ST",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727626683",
"telephone_number": "479-750-2020"
}
],
"practiceLocations": [
{
"address_1": "115 Pointer Trl W",
"address_purpose": "LOCATION",
"city": "Van Buren",
"state": "AR",
"postal_code": "729562236",
"country_code": "US",
"telephone_number": "479-471-1290",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2701 T P White Dr",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "AR",
"postal_code": "720762514",
"country_code": "US",
"telephone_number": "501-241-0410",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "105 S Blair St",
"address_purpose": "LOCATION",
"city": "Springdale",
"state": "AR",
"postal_code": "727644410",
"country_code": "US",
"telephone_number": "479-259-2339",
"fax_number": "479-751-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRONIN",
"first_name": "KALEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-22",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AR",
"license": "OT-A 1079",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.