Active NPI
Jennifer D Capps
- Developmental Therapist
- Fayetteville, AR
National Provider Identifier
1871840488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- SPEDECHINST SPE
- Practice address
- 2474 E Joyce Blvd
Ste. 2
Fayetteville, AR 72703-4519 - Phone
- (479) 521-8326
- Fax
- (479) 521-5439
- NPI assigned
- Aug 14, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | SPEDECHINST SPE | AR | Primary |
Addresses
Primary practice location
2474 E Joyce Blvd
Ste. 2
Fayetteville, AR 72703-4519
Mailing address
1081 Thornridge Rd
Bentonville, AR 72712-7990
Phone (479) 521-8326
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SPEDECHINST SPE | AR | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344902400000",
"number": "1871840488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1081 THORNRIDGE RD",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727127990",
"telephone_number": "479-521-8326",
"fax_number": "479-521-5439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2474 E JOYCE BLVD",
"address_2": "STE. 2",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034519",
"telephone_number": "479-521-8326",
"fax_number": "479-521-5439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPPS",
"first_name": "JENNIFER",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-14",
"last_updated": "2012-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "AR",
"license": "SPEDECHINST SPE",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.