1. Home
  2. Directory
  3. Arkansas
  4. Jonesboro
  5. Clinic Center
  6. NPI Profile

MIRACLE KIDS SUCCESS ACADEMY NORTH
NPI 1255935680
Clinic/Center - Developmental Disabilities in Jonesboro, AR

Active since November 25, 2020
806 GLENDALE ST, JONESBORO, AR 72401(870) 333-2600 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 18, 2020, Nov 25, 2020 (2 updates tracked since 2020).

About Miracle Kids Success Academy North NPPES

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

MIRACLE KIDS SUCCESS ACADEMY NORTH (NPI 1255935680) is a healthcare organization registered as a developmental disabilities in Jonesboro, Arkansas and active in the NPI registry since November 2020. The organization lists Shelly A Keller, Ceo, as its authorized official.

NPPES Registry Identity

NPI1255935680
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameMIRACLE KIDS SUCCESS ACADEMY NORTH
Location Address806 GLENDALE STJonesboro, AR 72401-4455
Mailing Address3127 Southwest Dr Ste AJonesboro, AR 72404-8404 · (870) 336-8100
Phone(870) 333-2600
Organization SubpartNo
Authorized OfficialShelly A KellerCeo · (870) 336-8100
Enumeration DateNovember 25, 2020
Last NPPES UpdateDecember 18, 20202 updates tracked since enumeration
NPPES CertifiedDecember 18, 2020
✔ NPI 1255935680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Also ListedClinic/Center · RehabilitationTaxonomy 261QR0400X
806 GLENDALE ST, Jonesboro, AR 72401
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

SAVANNAH LEE MCCARTHY
Speech-Language Pathologist
806 GLENDALE ST
JONESBORO, AR 72401
Craighead County (870) 333-2600
LAUREN GIBSON
Day Training/Habilitation Specialist
806 GLENDALE ST
JONESBORO, AR 72401
Craighead County (870) 933-9528
BRITTANY CLARK
Day Training/Habilitation Specialist
806 GLENDALE ST
JONESBORO, AR 72401
Craighead County (870) 933-9528
RYAN WHITLOCK
Case Manager/Care Coordinator
806 GLENDALE ST
JONESBORO, AR 72401
Craighead County (870) 933-9528
TANYA WOOD
Day Training/Habilitation Specialist
806 GLENDALE ST
JONESBORO, AR 72401
Craighead County (870) 933-9528
TOMMY JOE WILLHITE PT
Physical Therapist
806 GLENDALE ST
JONESBORO, AR 72401
Craighead County (870) 933-9528
ALISHA SCERCY
Specialist
806 GLENDALE ST
JONESBORO, AR 72401
Craighead County (870) 933-9528
DONNA THARP
Case Manager/Care Coordinator
806 GLENDALE ST
JONESBORO, AR 72401
Craighead County (870) 933-9528

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 Miracle Kids Success Academy North's NPI number?

The NPI number for Miracle Kids Success Academy North is 1255935680. It was assigned to this organization in the NPPES registry on November 25, 2020.

Where is Miracle Kids Success Academy North located?

Miracle Kids Success Academy North is located at 806 Glendale St, Jonesboro, AR 72401. The listed phone number is (870) 333-2600.

What is Miracle Kids Success Academy North's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Miracle Kids Success Academy North was last updated on December 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.