Xtraordinary People Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

XTRAORDINARY PEOPLE INC.

Doing business as

XtraOrdinary People Inc.

Practice address

404 Glennwood Rd SW
Decatur, AL 35601-3932

Phone

(256) 345-8896

NPI assigned

Mar 23, 2016

Last updated

Mar 23, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Annika M Beasley

Title

Ceo/ President

Phone

(256) 345-8896

Specialties & licenses 1

Addresses

Other names 1

• XtraOrdinary People Inc. Doing business as

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1700248226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 GLENNWOOD RD SW",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013932",
            "telephone_number": "256-345-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 GLENNWOOD RD SW",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013932",
            "telephone_number": "256-345-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XTRAORDINARY PEOPLE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-23",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "ANNIKA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO/ PRESIDENT",
        "authorized_official_telephone_number": "256-345-8896",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "XtraOrdinary People Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelli Wright, LCSW
• WS Community Service, LLC
• Samantha S Wyatt, M.D.
• Amy L Wynn, CRNP
• Tara Monet Wynn, MS
• Larryn Yarbrough
• Misty Yates
• Me'Lissa R Young-Harkins, D.O.
• Deborah Young, LMSW
• Kimberly M Young, FNP-BC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Decatur, AL
• Providers in Decatur, AL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.