Active NPI
Kids Place Learning Center
- Speech-Language Pathologist
- Jonesboro, AR
National Provider Identifier
1770029019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- KIDS PLACE LEARNING CENTER
- Doing business as
- KidSPOT
- Practice address
- 1823 Grant Ave
Suite D and E
Jonesboro, AR 72401-6155 - Phone
- (870) 974-9114
- Fax
- (870) 974-9184
- NPI assigned
- Jan 10, 2017
- Organization subpart
- Yes
- Parent organization
- KIDS PLACE LEARNING CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gina R Deuter, OWNER
- Title
- President
- Phone
- (870) 974-9114
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
1823 Grant Ave
Suite D and E
Jonesboro, AR 72401-6155
Mailing address
1801 Grant Ave
Jonesboro, AR 72401-6155
Phone (870) 974-9114
Other names 1
- KidSPOT
National Provider Directory
National Provider Directory- Tax ID family
- Kidspot Learning Center
- Part of
- Kidspot Learning Center
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Trumann, AR
- NPI 1124685318
-
- Speech-Language Pathologist
- Trumann, AR
- NPI 1699236919
-
- Speech-Language Pathologist
- Jonesboro, AR
- NPI 1790129757
-
- Behavior Analyst
- Jonesboro, AR
- NPI 1932740354
-
- Speech-Language Pathologist
- Walnut Ridge, AR
- NPI 1154758019
Locations
1823 Grant Ave
Jonesboro, AR 72401
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Jonesboro, AR
- NPI 1376691568
-
- Pediatric Physical Therapist
- Jonesboro, AR
- NPI 1174076012
-
- Speech-Language Pathologist
- Jonesboro, AR
- NPI 1700838364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1565049600000",
"number": "1770029019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 GRANT AVE",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724016155",
"telephone_number": "870-974-9114",
"fax_number": "870-974-9184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1823 GRANT AVE",
"address_2": "SUITE D AND E",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724016155",
"telephone_number": "870-974-9114",
"fax_number": "870-974-9184"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDS PLACE LEARNING CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KIDS PLACE LEARNING CENTER",
"enumeration_date": "2017-01-10",
"last_updated": "2019-08-06",
"status": "A",
"authorized_official_last_name": "DEUTER",
"authorized_official_first_name": "GINA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "870-974-9114",
"authorized_official_credential": "OWNER"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "KidSPOT",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "KidSPOT",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.