Individual provider Active NPI

Gloria Kelly Fields, AS PARALEGAL

  • Behavior Technician
  • Arkadelphia, AR
National Provider Identifier
1952065971
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
2503 Pine St Ste 2
Arkadelphia, AR 71923-4368
Phone
(870) 260-0238
NPI assigned
Oct 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

2503 Pine St Ste 2
Arkadelphia, AR 71923-4368

Mailing address

225 Wise St Apt 306
Hot Springs, AR 71901-4797
Phone (501) 310-3294

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL http://www.therapynotes.com

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
Credentials
Associate of Science

NPI Registry JSON

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1952065971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 WISE ST APT 306",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719014797",
            "telephone_number": "501-310-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 PINE ST STE 2",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719234368",
            "telephone_number": "870-260-0238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "GLORIA",
        "middle_name": "KELLY",
        "credential": "AS PARALEGAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://www.therapynotes.com",
            "affiliation": "N",
            "address_1": "2503 Pine St Ste 2",
            "city": "Arkadelphia",
            "state": "AR",
            "country_code": "US",
            "postal_code": "719234368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arkadelphia, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.