Creative Play LP

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CREATIVE PLAY LP

Practice address

7711 S Raeford Rd
Suite 102 #134
Fayetteville, NC 28304-5986

Phone

(910) 670-6317

Fax

(910) 493-3020

NPI assigned

Mar 12, 2012

Last updated

Dec 3, 2019By 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

Ms. Loriann E Kinney

Title

Chief Operating Officer/Director

Phone

(910) 670-6317

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1720353543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7711 S RAEFORD RD",
            "address_2": "SUITE 102 #134",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283045986",
            "telephone_number": "910-670-6317",
            "fax_number": "910-493-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7711 S RAEFORD RD",
            "address_2": "SUITE 102 #134",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283045986",
            "telephone_number": "910-670-6317",
            "fax_number": "910-493-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE PLAY LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "KINNEY",
        "authorized_official_first_name": "LORIANN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER/DIRECTOR",
        "authorized_official_telephone_number": "910-670-6317",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.