Kaci Pettit, QBHP

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1933 Shoemaker Rd Ste D
Sheridan, AR 72150-3000

Phone

(870) 917-2171

Fax

(870) 917-2161

NPI assigned

Jul 20, 2021

Last updated

Dec 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• BHC Pinnacle Pointe Hospital

  dba The Pointe Outpatient Behavioral Health Services/The Pointe-Sheridan

  • Adolescent and Children Mental Health Clinic/Center
  • Sheridan, AR
  • NPI 1154594380
  NPD
• BHC Pinnacle Pointe Hospital LLC

  dba Pinnacle Pointe Hospital

  • Psychiatric Hospital
  • Little Rock, AR
  • NPI 1912962341
  NPD (past)

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1952974826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 SHOEMAKER RD STE D",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "721503000",
            "telephone_number": "870-917-2171",
            "fax_number": "870-917-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 SHOEMAKER RD STE D",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "721503000",
            "telephone_number": "870-917-2171",
            "fax_number": "870-917-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIT",
        "first_name": "KACI",
        "credential": "QBHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul D Fitzgerald, DDS
• Paul D Fitzgerald, DDS
• Paula Ross, LLC
• Clyde Dodson Paulk, M.D.
• Clara R Penney, MS, LPEI
• Ashley Nicole Pierce, LMSW
• Pope Family Medical Clinic, PLLC
• Tammy K Pope, MD
• Chessica Porterfield, PT
• Lesia Pratt, AGPCNP

• Case Manager/Care Coordinator in Sheridan, AR
• Providers in Sheridan, AR by specialty
• Case Manager/Care Coordinator in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.