Active NPI
Marieca Pride
- Prosthetist
- Little Rock, AR
National Provider Identifier
1427787118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- 137644
- Practice address
- 7415 Colonel Glenn Rd Ste 23
Little Rock, AR 72204-7612 - Phone
- (501) 658-4395
- NPI assigned
- Jun 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | 137644 | AR | Primary |
Addresses
Primary practice location
7415 Colonel Glenn Rd Ste 23
Little Rock, AR 72204-7612
Mailing address
4 Elkhart CT
Little Rock, AR 72204-3408
Phone (501) 777-2541
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 |
|---|---|---|---|
| 137644 | AR | MD | Prosthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654646400000",
"number": "1427787118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 ELKHART CT",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722043408",
"telephone_number": "501-777-2541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7415 COLONEL GLENN RD STE 23",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722047612",
"telephone_number": "501-658-4395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIDE",
"first_name": "MARIECA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-08",
"last_updated": "2022-06-08",
"certification_date": "2022-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "AR",
"license": "137644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.