MKJD, LLC (NPI# 1063986123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063986123 |
| Entity Type | Organization |
| Organization Name | MKJD, LLC |
| Practice Address |
2040 Fitzhugh St Batesville AR 72501-7409 |
| Practice Telephone | 8707933500 |
| Practice Fax Number | 8707933501 |
| Mailing Telephone | 8707933500 |
| Mailing Fax Number | 8707933501 |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2019-01-11 |
| Authorized Official Name | WENDY BARNT (BILLING MANAGER) |
| Authorized Official Telephone | 8707933200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| STARS Academy South | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336587559 | Mkjd, LLC | Speech-Language Pathologist | 200 General St, Batesville, AR 72501-9407 | 2013-06-10 |
| Street Address |
2040 FITZHUGH ST |
| City | BATESVILLE |
| State | AR |
| Zip Code | 72501-7409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750437257 | Mary-katherine Hardin | Speech-Language Pathologist | 2040 Fitzhugh St, Batesville, AR 72501-7409 | 2007-01-26 |
| 1023639903 | Brooke Finch | Licensed Practical Nurse | 2040 Fitzhugh St, Batesville, AR 72501-7409 | 2020-05-01 |
| 1861055469 | Alanna Lee | Day Training/Habilitation Specialist | 2040 Fitzhugh St, Batesville, AR 72501-7409 | 2019-04-18 |
| 1922594803 | Starla K Stubbs | Case Manager/Care Coordinator | 2040 Fitzhugh St, Batesville, AR 72501-7409 | 2018-07-03 |
| 1326531898 | Kalynn D Higgs | Case Manager/Care Coordinator | 2040 Fitzhugh St, Batesville, AR 72501-7409 | 2018-06-11 |
| 1417440983 | Yesenia Hernandez | Case Manager/Care Coordinator | 2040 Fitzhugh St, Batesville, AR 72501-7409 | 2018-06-11 |
| 1225535743 | Rebecca E Stephens | Case Manager/Care Coordinator | 2040 Fitzhugh St, Batesville, AR 72501-7409 | 2018-04-11 |
| 1841793775 | Megan L Tate | Case Manager/Care Coordinator | 2040 Fitzhugh St, Batesville, AR 72501-7409 | 2018-03-16 |
| 1154823573 | Nikki L Smart | Case Manager/Care Coordinator | 2040 Fitzhugh St, Batesville, AR 72501-7409 | 2018-03-01 |
| 1104337013 | Autumn D Ball | Case Manager/Care Coordinator | 2040 Fitzhugh St, Batesville, AR 72501-7409 | 2017-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689137234 | Surya Boopathy | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-10 |
| 1245792530 | Shiyu Wang | Student in an Organized Health Care Education/Training Program | White River Medical Center, 1710 Harrison Street, Batesville, AR 72501 | 2019-04-04 |
| 1023598828 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 16520 White Dr., Batesville, AR 72501 | 2018-08-21 |
| 1437655040 | Bradely Stout | Social Worker | 1650 White Drive, Batesville, AR 72501 | 2018-04-03 |
| 1104342799 | Bobbi Tosh | Nurse Practitioner | 413 Virginia Drive, Batesville, AR 72501 | 2017-08-16 |
| 1912457854 | Melanie Ashleigh Brashers | Occupational Therapy Assistant | 1925 White Drive, Batesville, AR 72501 | 2016-10-04 |
| 1588112346 | Chelli Pollet | Developmental Therapist | 1000 White Dr, Batesville, AR 72501 | 2016-09-21 |
| 1184170482 | Taylor Mynatt | Speech-Language Pathologist | 1000 White Drive, Batesville, AR 72501 | 2016-08-28 |
| 1346626165 | Edward Shaw | Pharmacist | 1045 Saint Louis Street, Walgreens 12417, Batesville, AR 72501 | 2015-08-04 |
| 1457770372 | Stacy Pollack | Obstetrics & Gynecology | 1215 Sidney St Ste 202, Batesville, AR 72501 | 2014-04-08 |
| Find all providers in zip 72501 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356671366 | Miracle Kids Success Academy, Inc. | Clinic/Center | 200 General St, Batesville, AR 72501-9407 | 2010-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083272223 | Pediatric Therapy Connections LLC | Clinic/Center | 7601 Westminister Pl, Fort Smith, AR 72903 | 2019-06-03 |
| 1417512369 | Kids Unlimited Learning Academy of Springdale | Clinic/Center | 1268 Electric Ave, Springdale, AR 72764-7498 | 2019-05-07 |
| 1063912871 | Sygnificare, LLC | Clinic/Center | 10201 W Markham St Ste 105, Little Rock, AR 72205-2180 | 2018-02-19 |
| 1962853358 | Quality Rehab-st. Francis LLC | Clinic/Center | 1800 Stephens Dr, Forrest City, AR 72335-8118 | 2016-06-27 |
| 1588037196 | Wolf Wellness Center, Pllc | Clinic/Center | 23 Parkcliff Dr, Holiday Island, AR 72631-9230 | 2015-11-04 |
| 1740607431 | Kidz Palace Therapy LLC | Clinic/Center | 7123 Interstate 30 Ste 25, Little Rock, AR 72209-3184 | 2014-03-20 |
| 1699114132 | Kids Unlimited Learning Academy of Cabot, Inc. | Clinic/Center | 2792 S 2nd St, Suites B & C, Cabot, AR 72023-7020 | 2013-06-18 |
| 1548569585 | East Arkansas Physical Therapy | Clinic/Center | 3150 N Washington, Forrest City, AR 72335 | 2011-03-16 |
| 1205024908 | In Sight Low Vision Services LLC | Clinic/Center | 601 County Road 155, Eureka Springs, AR 72632-9229 | 2007-10-07 |
| 1679779920 | Kymes-lyons Physical Therapy and Sports Performance Center Pa | Clinic/Center | 575 Club Lane, Conway, AR 72032 | 2007-06-25 |
| Find all providers with the same taxonomy | ||||
| City | BATESVILLE |
| Zip Code | 72501 |
Please comment or provide details below to improve the information on MKJD, LLC.
| 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.