MIRACLE KIDS SUCCESS ACADEMY OF PARAGOULD (NPI# 1750849006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750849006 |
| Entity Type | Organization |
| Organization Name | MIRACLE KIDS SUCCESS ACADEMY OF PARAGOULD |
| Practice Address |
1910 Rector Rd Paragould AR 72450-2004 |
| Mailing Address |
1900 Stillwater Dr Jonesboro AR 72404-9119 |
| Practice Telephone | 8709323600 |
| Mailing Telephone | 8709323600 |
| Mailing Fax Number | 8709323611 |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2019-03-06 |
| Authorized Official Name | MRS. SHELLY KELLER (CEO) |
| Authorized Official Telephone | 8707616680 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316405665 | Miracle Kids Success Academy of Paragould | Occupational Therapist | 1910 Rector Rd, Paragould, AR 72450-2004 | 2019-03-06 |
| Street Address |
1910 RECTOR RD |
| City | PARAGOULD |
| State | AR |
| Zip Code | 72450-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174678106 | Kelly Lynn Kasserman | Physical Therapist | 1910 Rector Rd, Paragould, AR 72450-2004 | 2007-01-23 |
| 1316405665 | Miracle Kids Success Academy of Paragould | Occupational Therapist | 1910 Rector Rd, Paragould, AR 72450-2004 | 2019-03-06 |
| 1093291551 | Tiffany L Kirby | Registered Nurse | 1910 Rector Rd, Paragould, AR 72450-2004 | 2018-07-17 |
| 1629562186 | Shaclara C Weaver | Case Manager/Care Coordinator | 1910 Rector Rd, Paragould, AR 72450-2004 | 2018-06-19 |
| 1154815744 | Jessica G Russom | Case Manager/Care Coordinator | 1910 Rector Rd, Paragould, AR 72450-2004 | 2018-06-18 |
| 1851880884 | Jeia R Cowell | Case Manager/Care Coordinator | 1910 Rector Rd, Paragould, AR 72450-2004 | 2018-05-04 |
| 1033607627 | Sarah E Small | Case Manager/Care Coordinator | 1910 Rector Rd, Paragould, AR 72450-2004 | 2018-04-29 |
| 1669975538 | Brook A Zepecki | Case Manager/Care Coordinator | 1910 Rector Rd, Paragould, AR 72450-2004 | 2018-03-16 |
| 1639681810 | Holley A Estes | Case Manager/Care Coordinator | 1910 Rector Rd, Paragould, AR 72450-2004 | 2017-10-28 |
| 1760908834 | Crystal L Andrew | Physical Therapist | 1910 Rector Rd, Paragould, AR 72450-2004 | 2017-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063029460 | Onward and Upward Counseling, Pllc | Counselor | 100 North Rockingchair Road, Ste 3, Paragould, AR 72450 | 2020-09-29 |
| 1871104182 | Michele Lynn Jones | Technician | 2905 Stonegate Dr, Paragould, AR 72450 | 2020-08-11 |
| 1205457405 | Arkansas Methodist Hospital Corp. | Family Medicine | 1000 W. Kinshighway, Suite 14, Paragould, AR 72450 | 2020-04-29 |
| 1053968222 | Stewart Pediatric Therapy LLC | Occupational Therapist | 1908 Mockingbird Lane, Suite A, Paragould, AR 72450 | 2019-08-22 |
| 1821575911 | Ashley Brooke Mcleskey | Physical Therapy Assistant | 9504 Hwy 135 N, Paragould, AR 72450 | 2018-07-23 |
| 1437660925 | Susan Leigh Boling | Behavioral Analyst | 3171 Green 905 Road, Paragould, AR 72450 | 2017-10-24 |
| 1518481589 | Amy Elms | Nurse Practitioner | 1000 W Kingshighway Ste 3, Paragould, AR 72450 | 2017-08-01 |
| 1073065074 | Sarah Katherine Medley | Case Manager/Care Coordinator | 1101 West Morgan, Paragould, AR 72450 | 2016-10-26 |
| 1285097949 | Chelsea Lee Thompson | Family Medicine | 1110 W. Kingshighway, Paragould, AR 72450 | 2016-03-31 |
| 1609234269 | Bethel Burris Oliver | Dentist | 2713 W Kings Highway, Paragould, AR 72450 | 2016-02-10 |
| Find all providers in zip 72450 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| 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 |
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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.