DR. KELLY PIZZITOLA JARRATT (NPI# 1043410608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043410608 |
| Entity Type | Individual |
| Full Name | DR. KELLY PIZZITOLA JARRATT |
| Credential | PH.D. |
| Practice Address |
1 Childrens Way # 653 Little Rock AR 72202-3500 |
| Practice Telephone | 5013641100 |
| Practice Fax Number | 5013644082 |
| Mailing Telephone | 5013641100 |
| Mailing Fax Number | 5013644082 |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2016-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 06-39P | AR | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
34329 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 164708719 | 05 |
| Street Address |
1 CHILDRENS WAY # 653 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72202-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346235611 | Jessica R Snowden | Pediatrics | 1 Childrens Way # 653, Little Rock, AR 72202 | 2005-09-13 |
| 1922620095 | Megan Elise Cole | Nurse Practitioner | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2020-05-12 |
| 1174156624 | Pamela Denise Royal | Nurse Practitioner | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2020-02-12 |
| 1245718576 | Sateesh Jayappa | Radiology | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2018-07-30 |
| 1427546720 | Shelby Jordyn Earnest-hastings | Nurse Practitioner | 1 Childrens Way # 653, Little Rock, AR 72202 | 2018-04-23 |
| 1730687450 | Mary Lynne Shults | Pediatrics | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2018-01-28 |
| 1871001859 | Jennifer Lynn Livingston | Nurse Practitioner | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2018-01-12 |
| 1487168282 | Ryland Walt Steele | Physician Assistant | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2017-12-01 |
| 1225556632 | Paige Fenner | Nurse Practitioner | 1 Childrens Way # 653, Little Rock, AR 72202 | 2017-09-06 |
| 1902337280 | Julish Selvy | Registered Nurse | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2017-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116481 | Kendra Kay Romig | Physical Therapist | 1617 Brookwood Dr, Little Rock, AR 72202 | 2020-08-25 |
| 1467071845 | Allison Morton | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 589, Little Rock, AR 72202 | 2020-04-15 |
| 1568091593 | Hannah Elisabeth Smashey Lewis | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot: Ach 512-15, Little Rock, AR 72202 | 2020-04-02 |
| 1922569003 | Lily Suh | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 512-19a, Little Rock, AR 72202 | 2019-03-29 |
| 1629563374 | Heidi Marie Lightle | Audiologist | 1900 Maryland Street, Slot 113 Ach-audiology, Little Rock, AR 72202 | 2018-06-26 |
| 1053817916 | Daniel Harper | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 556, Little Rock, AR 72202 | 2018-03-31 |
| 1003320185 | Uday Kumar Chalwadi | Student in an Organized Health Care Education/Training Program | #1 Childrens Way, Slot Ach 512-17, Little Rock, AR 72202 | 2017-11-28 |
| 1770010209 | Auston Wilis | Counselor | 1707 W 12th St Ste 201, Little Rock, AR 72202 | 2017-05-15 |
| 1518499888 | Patrick Ayers | Student in an Organized Health Care Education/Training Program | #1 Childrens Way, Slot Ach 512-19a, Little Rock, AR 72202 | 2017-03-28 |
| 1508213497 | The Learning Curve Lactation Support LLC | Durable Medical Equipment & Medical Supplies | 1301 S. Louisiana St. Apt. 106, Little Rock, AR 72202 | 2016-05-20 |
| Find all providers in zip 72202 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033510037 | Seth T Sorensen | Clinical Neuropsychologist | 1 Childrens Way # 512-21, Little Rock, AR 72202 | 2014-09-09 |
| 1225367725 | Elizabeth Speck-kern | Clinical Neuropsychologist | 3 Innwood Cr., Ste 111, Little Rock, AR 72211 | 2009-12-11 |
| 1477785822 | Andrews Neuropsychology Consulting, Pplc | Clinical Neuropsychologist | 1701 Centerview Dr Ste 123, Little Rock, AR 72211-4311 | 2009-08-19 |
| 1851501803 | Garrett Andrews | Clinical Neuropsychologist | 2400 Riverfront Dr, Apt. 1437, Little Rock, AR 72202-2208 | 2007-05-22 |
| 1033285150 | William Austin Cochran IIi | Clinical Neuropsychologist | 287 Valley Club Cir, Little Rock, AR 72212-2934 | 2006-11-28 |
| 1740392919 | Jennifer Lewis Gess | Clinical Neuropsychologist | 4301 W Markham St # 554, Little Rock, AR 72205-7101 | 2006-08-31 |
| 1073581468 | Gary T. Souheaver | Clinical Neuropsychologist | 6 Margeaux Ct, Little Rock, AR 72223-9193 | 2006-03-10 |
| 1154304665 | James R Moneypenny | Clinical Neuropsychologist | 8500 W Markham St, Ste 305, Little Rock, AR 72205-2453 | 2005-11-29 |
| 1043218472 | Michael Gerard Hazlewood | Clinical Neuropsychologist | 60 Woodlore Cir, Little Rock, AR 72211-2354 | 2005-07-10 |
| 1962405563 | Jody Lynn Hagen | Clinical Neuropsychologist | 10515 W Markham St, Suite B1, Little Rock, AR 72205-2139 | 2005-05-27 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72202 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.