Kimberly L. Cadle, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

E3267 Issued in AR

Practice address

2719 SE I St
Bentonville, AR 72712-3996

Phone

(479) 273-5437

NPI assigned

Mar 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northwest Arkansas Immunization

  • Pediatrics Physician
  • Bentonville, AR
  • NPI 1386944791
  NPD (past) Authorized official
• Bentonville Pediatrics

  • Pediatrics Physician
  • Bentonville, AR
  • NPI 1356319164
  NPD (past)

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1487622387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 SE I ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123996",
            "telephone_number": "479-273-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 SE I ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123996",
            "telephone_number": "479-273-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADLE",
        "first_name": "KIMBERLY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E3267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146618001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Savannah Byler
• Alleshia Byrd, LAC
• Jonathan Byrd, MHPP
• Tracie Byrne, DC
• James David Byrum, MD
• Lindsay Caffelle, PHARMD
• Ksenia A. Caillouet, MHPP
• Rachelle K Calhoun
• Caliber of NW Arkansas LLC (Caliber Care & Transport)
• Melina Callaway

• Pediatrics Physician in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Pediatrics Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.