Active NPI
Kaitlynn E Teague
- Social Worker
- Siloam Springs, AR
National Provider Identifier
1841035151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 710 S Holly St
Siloam Springs, AR 72761-3304 - Phone
- (479) 524-8618
- NPI assigned
- Jun 27, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
710 S Holly St
Siloam Springs, AR 72761-3304
Mailing address
710 S Holly St
Siloam Springs, AR 72761-3304
Phone (479) 524-8618
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozark Guidance Center, Inc | Social Worker | Past | Accepting new patients |
| Ozark Guidance Center, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Springdale, AR
- NPI 1609875186
Social Worker
-
- Family Medicine Physician
- Springdale, AR
- NPI 1659945194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1841035151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 S HOLLY ST",
"city": "SILOAM SPRINGS",
"state": "AR",
"postal_code": "727613304",
"telephone_number": "479-524-8618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 S HOLLY ST",
"city": "SILOAM SPRINGS",
"state": "AR",
"postal_code": "727613304",
"telephone_number": "479-524-8618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEAGUE",
"first_name": "KAITLYNN",
"middle_name": "E",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-27",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Siloam Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.