Individual provider Active NPI

Kaley Cronin

  • Case Manager/Care Coordinator
  • Springdale, AR
National Provider Identifier
1417319385
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
2400 S 48TH St
Springdale, AR 72762-6683
Phone
(479) 750-2020
NPI assigned
Mar 22, 2016
Last updated
Mar 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
OT-A 1079ARMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Spot LLC Past Accepting new patients
Arkansas Pediatric Therapy PastSince Apr 21, 2024 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.

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.

Verify at the official NPI Registry.