Organization Active NPI

Kid Quest Incorporated

  • Case Management Agency
  • North Little Rock, AR
National Provider Identifier
1528384013
Registry record updated Apr 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
145713778 Issued in AR
Legal business name
KID QUEST INCORPORATED
Practice address
425 Parkdale St
North Little Rock, AR 72117-4317
Phone
(501) 772-3314
Fax
(501) 374-4187
NPI assigned
Apr 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2010

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

Authorized official

Name
Ms. Berthena Bo Nunn
Title
Director
Phone
(501) 772-3314

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 145713778 AR Primary
Developmentally Disabled Services Day Training Agency 251C00000X 145713778 AR
Early Intervention Provider Agency 252Y00000X 145713778 AR

Addresses

Primary practice location

425 Parkdale St
North Little Rock, AR 72117-4317

Mailing address

425 Parkdale St
North Little Rock, AR 72117-4317
Phone (501) 772-3314

Other identifiers 1

IdentifierTypeStateIssuer
145713778MedicaidAR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270771200000",
    "number": "1528384013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 PARKDALE ST",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721174317",
            "telephone_number": "501-772-3314",
            "fax_number": "501-374-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 PARKDALE ST",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721174317",
            "telephone_number": "501-772-3314",
            "fax_number": "501-374-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KID QUEST INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-09",
        "last_updated": "2010-04-09",
        "status": "A",
        "authorized_official_last_name": "NUNN",
        "authorized_official_first_name": "BERTHENA",
        "authorized_official_middle_name": "BO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "501-772-3314",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AR",
            "license": "145713778",
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "AR",
            "license": "145713778",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "AR",
            "license": "145713778",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145713778",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; 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.