Kid'S First Beloit

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

KID'S FIRST BELOIT

Doing business as

The Lincoln Academy

Practice address

55 Eclipse Ctr
Beloit, WI 53511-3550

Phone

(305) 360-2379

NPI assigned

Apr 28, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Gurley

Title

Chief Operations Officer

Phone

(305) 360-2379

Specialties & licenses 1

Addresses

Other names 1

• The Lincoln Academy Doing business as

Locations

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1427631464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 ECLIPSE CTR",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535113550",
            "telephone_number": "305-360-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 ECLIPSE CTR",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535113550",
            "telephone_number": "305-360-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KID'S FIRST BELOIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "GURLEY",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "305-360-2379",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Lincoln Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Douglas Edward Kelley, OD
• Makayla Kellner
• Leah Keyes, L.A.T., A.T.C.
• Yehia A. Khoga, MD
• Eric Haque Khondaker
• Kayla Kind, LPC
• Matilda Kirch, RDH
• Erin Kirkpatrick
• Claudia A Klein, MS LCP LCPC
• Kenneth L Klein, MD

• Local Education Agency (LEA) in Beloit, WI
• Providers in Beloit, WI by specialty
• Local Education Agency (LEA) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.