Active NPI
Kidspiration of Marion County
- Primary Care Clinic/Center
- Yellville, AR
National Provider Identifier
1700430386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- KIDSPIRATION OF MARION COUNTY
- Practice address
- 81 Development Dr
Yellville, AR 72687-0662 - Phone
- (870) 449-7050
- Fax
- (870) 424-4112
- NPI assigned
- Jul 31, 2019
- Organization subpart
- Yes
- Parent organization
- KIDSPIRATION PEDIATRIC THERPAY SERIVC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leah Coleman, DT, ECDS
- Title
- Owner/Director
- Phone
- (870) 424-4021
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
81 Development Dr
Yellville, AR 72687-0662
Mailing address
PO Box 662
Yellville, AR 72687-0662
Phone (870) 449-7050
National Provider Directory
National Provider Directory- Part of
- Kidspiration Pediatric Therapy Services
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Licensed Practical Nurse
- Yellville, AR
- NPI 1053926881
-
- Developmental Therapist
- Yellville, AR
- NPI 1093388852
-
- Developmental Therapist
- Yellville, AR
- NPI 1174161707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600387200000",
"number": "1700430386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 662",
"city": "YELLVILLE",
"state": "AR",
"postal_code": "726870662",
"telephone_number": "870-449-7050",
"fax_number": "870-424-4112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 DEVELOPMENT DR",
"city": "YELLVILLE",
"state": "AR",
"postal_code": "726870662",
"telephone_number": "870-449-7050",
"fax_number": "870-424-4112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDSPIRATION OF MARION COUNTY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KIDSPIRATION PEDIATRIC THERPAY SERIVC",
"enumeration_date": "2019-07-31",
"last_updated": "2020-09-18",
"certification_date": "2020-09-18",
"status": "A",
"authorized_official_last_name": "COLEMAN",
"authorized_official_first_name": "LEAH",
"authorized_official_title_or_position": "OWNER/DIRECTOR",
"authorized_official_telephone_number": "870-424-4021",
"authorized_official_credential": "DT, ECDS"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yellville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.