KIDS PLACE LEARNING CENTER (NPI# 1770029019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770029019 |
| Entity Type | Organization |
| Organization Name | KIDS PLACE LEARNING CENTER |
| Other Organization Name | KIDSPOT |
| Practice Address |
1823 Grant Ave Suite D and E Jonesboro AR 72401-6155 |
| Mailing Address |
1801 Grant Ave Jonesboro AR 72401-6155 |
| Practice Telephone | 8709749114 |
| Practice Fax Number | 8709749184 |
| Mailing Telephone | 8709749114 |
| Mailing Fax Number | 8709749184 |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2019-08-06 |
| Authorized Official Name | GINA R DEUTER (PRESIDENT) |
| Authorized Official Telephone | 8709749114 |
| Authorized Official Credential | OWNER |
| Is Organization Subpart | Y |
| Parent Organization Name | KIDS PLACE LEARNING CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Other Name | Type Code |
|---|---|
| KidSPOT | Doing Business As Name - Organization |
| Street Address |
1823 GRANT AVE SUITE D AND E |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-6155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316940844 | Linda Sue Holmes | Contractor | 1823 Grant Ave, Ste A, Jonesboro, AR 72401-6148 | 2005-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972111698 | Julia Cochran Collins | Speech-Language Pathologist | 8222 Lullwater Ct, Jonesboro, GA 30236-3963 | 2020-07-20 |
| 1669007936 | Amy Lee Lewis | Speech-Language Pathologist | 884 Plymouth Dr, Jonesboro, GA 30236-5587 | 2020-03-07 |
| 1013548700 | Ashley Caitlin Gonzalez | Speech-Language Pathologist | 3215 Springwood Dr, Jonesboro, AR 72404-7750 | 2020-01-31 |
| 1699314989 | Shanon Y Brantley | Speech-Language Pathologist | 505 Kelsey Dr, Jonesboro, AR 72404-8561 | 2020-01-03 |
| 1316425788 | Kathryn Webb | Speech-Language Pathologist | 2131 Valley View Dr, Jonesboro, AR 72404-9031 | 2018-07-29 |
| 1578091567 | Fatimah O Anjorin | Speech-Language Pathologist | 2102 Battlecreek Village Dr, Jonesboro, GA 30236-8535 | 2017-06-02 |
| 1760927198 | Amber L. Lindley | Speech-Language Pathologist | 1407 Marketplace Dr Ste 8&9, Jonesboro, AR 72401-5227 | 2016-12-20 |
| 1528422060 | Cooper Educational Therapy Services | Speech-Language Pathologist | 966 County Road 476, Jonesboro, AR 72404-7663 | 2016-04-11 |
| 1770943672 | Byrd Speech Therapy Providers,llc | Speech-Language Pathologist | 1407 Marketplace Dr, Office # 7, Jonesboro, AR 72401-5227 | 2016-03-04 |
| 1447616016 | Paige Nicole Mcmorries | Speech-Language Pathologist | 1620 Pinoak Pl, Jonesboro, AR 72404-8037 | 2016-01-12 |
| Find all providers in JONESBORO | ||||
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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.