FULL POTENTIAL
NPI 1427379387
Clinic/Center - Primary Care in Little Rock, AR

NPI Status: Active since June 15, 2010

Contact Information

8109 INTERSTATE 30
LITTLE ROCK, AR
ZIP 72209
Phone: (501) 374-0360
Fax: (501) 374-0395

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  • Organization
  • Clinic/Center
  • Primary Care

About FULL POTENTIAL

This page provides the complete NPI Profile along with additional information for Full Potential, a primary care provider established in Little Rock, Arkansas operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1427379387 assigned on June 2010. The practitioner's primary taxonomy code is 261QP2300X with license number 27063 (AR). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Mr. Kirk N Wilson (President/ Owner)

NPI
1427379387
Provider Name
FULL POTENTIAL
Entity Type
Organization
Location Address
8109 INTERSTATE 30 LITTLE ROCK, AR 72209
Location Phone
(501) 374-0360
Location Fax
(501) 374-0395
Mailing Address
8109 INTERSTATE 30 ST LITTLE ROCK, AR 72209
Mailing Phone
(501) 374-0360
Mailing Fax
(501) 374-0395
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-15-2010
Last Update Date
12-01-2010
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A primary care provider (PCP) like Full Potential sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities
License No.
27063
License State
AR

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. KIRK N WILSON

Authorized Official Title
PRESIDENT/ OWNER
Authorized Official Phone
(501) 374-0360

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
=========MEDICAID (05)AR 

Reviews for FULL POTENTIAL

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427379387
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24476718316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 6 + 7 + 1 + 8 + 3 + 1 + 6 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1427379387 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750555447SUPERMARKET INVESTORS INC.
Organization
Pharmacy8109 INTERSTATE 30
LITTLE ROCK, AR 72209
(501) 570-0007
1174813679MRS. CHRISTINE BEALL BROUSSARD PT, DPT
Individual
Physical Therapist8109 INTERSTATE 30
LITTLE ROCK, AR 72209
(501) 562-5400
1174891808FULL POTENTIAL
Organization
Skilled Nursing Facility (Nursing Care, Pediatric)8109 INTERSTATE 30
LITTLE ROCK, AR 72209
(501) 442-3268
1982941928 APRIL LANELLE BARNES M.S. CCC-SLP
Individual
Speech-Language Pathologist8109 INTERSTATE 30
LITTLE ROCK, AR 72209
(501) 562-5400
1346676376MRS. MARY KENDALL CROW MS, OTR/L
Individual
Occupational Therapist8109 INTERSTATE 30
LITTLE ROCK, AR 72209
(501) 562-5400
1073998621 KELLY ELISE JACKSON COTA/L
Individual
Occupational Therapy Assistant8109 INTERSTATE 30
LITTLE ROCK, AR 72209
(501) 562-5400
1467864074 TAMMY WHITE OTA/L
Individual
Occupational Therapy Assistant8109 INTERSTATE 30
LITTLE ROCK, AR 72209
(501) 562-5400
1831600873MRS. DANNTIONNETTE WEBSTER
Individual
Day Training/Habilitation Specialist8109 INTERSTATE 30
LITTLE ROCK, AR 72209
(501) 562-5400
1174034102 REBECCA ANDERSON NURSE
Individual
Licensed Practical Nurse8109 INTERSTATE 30
LITTLE ROCK, AR 72209
(501) 562-5400
1588175525 MIRTHA CELLITTI LPE
Individual
Psychologist (Health Service)8109 INTERSTATE 30
LITTLE ROCK, AR 72209
(501) 562-5400
1386155315 KATHY VANN ECDS
Individual
Day Training/Habilitation Specialist8109 INTERSTATE 30
LITTLE ROCK, AR 72209
(501) 562-5400
1750892642 SONJA NELSON
Individual
Licensed Practical Nurse8109 INTERSTATE 30
LITTLE ROCK, AR 72209
(501) 562-5400
1124539036 WINTER NOBLE
Individual
Day Training/Habilitation Specialist8109 INTERSTATE 30
LITTLE ROCK, AR 72209
(501) 562-5400
1730690512MRS. STEPHANIE SLAYTON
Individual
Day Training/Habilitation Specialist8109 INTERSTATE 30
LITTLE ROCK, AR 72209
(501) 562-5400
1093227811 ANTHONETTE BARRON NURSE
Individual
Licensed Practical Nurse8109 INTERSTATE 30
LITTLE ROCK, AR 72209
(501) 562-5400
1588798235 ANGELA RUSSELL MSPT
Individual
Specialist8109 INTERSTATE 30
LITTLE ROCK, AR 72209
(501) 249-7413
1073679957 KEM WEATHERSBY
Individual
Speech-Language Pathologist8109 INTERSTATE 30
LITTLE ROCK, AR 72209
(501) 562-5400
1255229902MRS. MALLORY WHITWORTH RN
Individual
Registered Nurse8109 INTERSTATE 30
LITTLE ROCK, AR 72209
(501) 562-5400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427379387, enumerated in the NPI registry as an "organization" on June 15, 2010

The provider is located at 8109 Interstate 30 Little Rock, Ar 72209 and the phone number is (501) 374-0360

This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 15, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.