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FULL POTENTIAL
NPI 1174891808
Skilled Nursing Facility - Nursing Care, Pediatric in Little Rock, AR

Active since December 08, 2011
8109 INTERSTATE 30, LITTLE ROCK, AR 72209(501) 442-3268 Get Directions Write a Review

NPPES record last updated: December 8, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Full Potential NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FULL POTENTIAL (NPI 1174891808) is a healthcare organization registered as a nursing care, pediatric in Little Rock, Arkansas and active in the NPI registry since December 2011. The organization lists Tanishia Marie Williams, Nurse, as its authorized official.

NPPES Registry Identity

NPI1174891808
Entity TypeOrganization
Primary Taxonomy3140N1450X
Legal Business NameFULL POTENTIAL
Location Address8109 INTERSTATE 30Little Rock, AR 72209
Mailing AddressP.o. Box 244Mabelvale, AR 72103 · (501) 442-3268
Phone(501) 442-3268
Organization SubpartNo
Authorized OfficialTanishia Marie WilliamsNurse · (501) 442-3268
Enumeration DateDecember 8, 2011
✔ NPI 1174891808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing Facility · Nursing Care, PediatricNursing & Custodial Care Facilities
Taxonomy Code3140N1450X
License✔ Licensed in AR · L46656
Definition
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
8109 INTERSTATE 30, Little Rock, AR 72209
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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEM WEATHERSBY
Speech-Language Pathologist
8109 INTERSTATE 30
LITTLE ROCK, AR 72209
Pulaski County (501) 562-5400
KELLY ELISE JACKSON COTA/L
Occupational Therapy Assistant
8109 INTERSTATE 30
LITTLE ROCK, AR 72209
Pulaski County (501) 562-5400
ANTHONETTE BARRON NURSE
Licensed Practical Nurse
8109 INTERSTATE 30
LITTLE ROCK, AR 72209
Pulaski County (501) 562-5400
REBECCA ANDERSON NURSE
Licensed Practical Nurse
8109 INTERSTATE 30
LITTLE ROCK, AR 72209
Pulaski County (501) 562-5400
MRS. CHRISTINE BEALL BROUSSARD PT, DPT
Physical Therapist
8109 INTERSTATE 30
LITTLE ROCK, AR 72209
Pulaski County (501) 562-5400
TAMERA WASHINGTON
Behavior Technician
8109 INTERSTATE 30
LITTLE ROCK, AR 72209
Pulaski County (501) 562-5400
MRS. MALLORY WHITWORTH RN
Registered Nurse
8109 INTERSTATE 30
LITTLE ROCK, AR 72209
Pulaski County (501) 562-5400
MRS. MARY KENDALL CROW MS, OTR/L
Occupational Therapist
8109 INTERSTATE 30
LITTLE ROCK, AR 72209
Pulaski County (501) 562-5400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Full Potential's NPI number?

The NPI number for Full Potential is 1174891808. It was assigned to this organization in the NPPES registry on December 8, 2011.

Where is Full Potential located?

Full Potential is located at 8109 Interstate 30, Little Rock, AR 72209. The listed phone number is (501) 442-3268.

What is Full Potential's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility, specializing in Nursing Care, Pediatric, with taxonomy code 3140N1450X.

When was this NPI record last updated?

The NPPES record for Full Potential was last updated on December 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.