Active NPI
Kathryn Rudder
- Behavior Technician
- Bentonville, AR
National Provider Identifier
1467184168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 103 SE 22ND St
Bentonville, AR 72712-7188 - Phone
- (479) 521-8326
- NPI assigned
- Jun 30, 2022
- Last updated
- May 2, 2024
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | AR | Primary |
Addresses
Primary practice location
103 SE 22ND St
Bentonville, AR 72712-7188
Mailing address
2474 E Joyce Blvd Ste 2
Fayetteville, AR 72703-4932
Phone (479) 521-8326
Other practice location 1
6836 Isaacs Orchard Rd
Springdale, AR 72762-6096
Phone (479) 927-4100
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Support Network, Inc | Current | Accepting new patients | |
| Children's Therapy Services, Inc. | Past | Accepting new patients | |
| Arkansas Support Network | Past | Accepting new patients | |
| Children's Therapy Services, Inc | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Case Management Agency
- Springdale, AR
- NPI 1720601412
-
- Developmentally Disabled Services Day Training Agency
- Springdale, AR
- NPI 1508190273
-
- Behavior Analyst
- Fayetteville, AR
- NPI 1932685203
-
- Pediatric Physical Therapist
- Fayetteville, AR
- NPI 1326008863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714608000000",
"number": "1467184168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2474 E JOYCE BLVD STE 2",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034932",
"telephone_number": "479-521-8326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 SE 22ND ST",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727127188",
"telephone_number": "479-521-8326"
}
],
"practiceLocations": [
{
"address_1": "6836 Isaacs Orchard Rd",
"address_purpose": "LOCATION",
"city": "Springdale",
"state": "AR",
"postal_code": "727626096",
"country_code": "US",
"telephone_number": "479-927-4100",
"fax_number": "479-927-4101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUDDER",
"first_name": "KATHRYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-30",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "AR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.