Kidschoice Therapeutic Services

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

SCIN22A Issued in AR

Legal business name

KIDSCHOICE THERAPEUTIC SERVICES

Practice address

32 Broadmoor Dr
Little Rock, AR 72204-4821

Phone

(501) 343-9508

Fax

(501) 537-8084

NPI assigned

May 23, 2008

Organization subpart

No

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

Authorized official

Name

Essie Luvenia Hewett

Title

Director

Phone

(501) 343-9508

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1992963151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 BROADMOOR DR",
            "address_2": "PO BOX 4582",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722044821",
            "telephone_number": "501-343-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 BROADMOOR DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722044821",
            "telephone_number": "501-343-9508",
            "fax_number": "501-537-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSCHOICE THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "HEWETT",
        "authorized_official_first_name": "ESSIE",
        "authorized_official_middle_name": "LUVENIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "501-343-9508"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "AR",
            "license": "SCIN22A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132743785",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164949778",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164950724",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165045742",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kidd Kave Learning Center
• Anna Melissa Kidd, APRN-CNP
• Sheryl Kidd, QBHP
• Kidney Care Center, PLLC
• Kids Therapy
• Krista Grace Kidwell, SLP
• Kidz Palace Therapy LLC
• Kidz Palace Therapy LLC
• Katherine Elizabeth Kiernan-Shafi, APRN
• Traci A Kiernan, D.C.

• Case Manager/Care Coordinator in Little Rock, AR
• Providers in Little Rock, 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 May 23, 2008; 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.