Active NPI
Carlene Ann Sanford
- Speech-Language Pathologist
- Searcy, AR
National Provider Identifier
1003061565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 400 South Main Suite 500
Healing Hands Therapy
Searcy, AR 72143 - Phone
- (501) 278-9904
- Fax
- (501) 278-9906
- NPI assigned
- Nov 25, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
400 South Main Suite 500
Healing Hands Therapy
Searcy, AR 72143
Mailing address
400 South Main Suite 500
Healing Hands Therapy
Searcy, AR 72143
Phone (501) 278-9904
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 183977721 | Medicaid | AR |
Other names 1
- Carlene Ann Colebank
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289347200000",
"number": "1003061565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 SOUTH MAIN SUITE 500",
"address_2": "HEALING HANDS THERAPY",
"city": "SEARCY",
"state": "AR",
"postal_code": "72143",
"telephone_number": "501-278-9904",
"fax_number": "501-278-9906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 SOUTH MAIN SUITE 500",
"address_2": "HEALING HANDS THERAPY",
"city": "SEARCY",
"state": "AR",
"postal_code": "72143",
"telephone_number": "501-278-9904",
"fax_number": "501-278-9906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANFORD",
"first_name": "CARLENE",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-25",
"last_updated": "2010-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "183977721",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CARLENE",
"last_name": "COLEBANK",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Searcy, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.