Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Kidscorp of Fayetteville, Inc

Developmental Disabilities Clinic/Center in Springdale, AR · enumerated 2013 · authorized official Shelia Wilkerson, Clinical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790124659

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Registry record

Entity type Organization (Type 2)

Legal business name Kidscorp of Fayetteville, Inc

Practice address 2210 Main Dr, Springdale, AR, 72762

Phone (479) 856-6397

Fax (479) 856-6412

Enumeration date Jun 24, 2013

Last updated in NPPES Oct 25, 2017

Taxonomy & classification

261QD1600X Developmental Disabilities Clinic/Center Ambulatory Health Care Facilities · License 28786 (AR) Primary

Authorized official

Name Shelia Wilkerson

Title Clinical Director

Phone (479) 986-5150

Other identifiers

Identifier	Type	State	Issuer
198277724	Medicaid	AR	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2017-10-25. Verify at npiregistry.cms.hhs.gov.

Where is Kidscorp of Fayetteville, Inc located?

The practice location on file with NPPES is in Springdale, AR.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-10-25.