Active NPI
Amber N Nichols, CCCSLP
- Speech-Language Pathologist
- Hot Springs, AR
National Provider Identifier
1003138413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP2745
- Practice address
- 100 Greenwood Ave
Suite D
Hot Springs, AR 71913-4427 - Phone
- (501) 625-7800
- Fax
- (501) 325-2727
- NPI assigned
- Feb 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | SP2745 | AR | Primary |
Addresses
Primary practice location
100 Greenwood Ave
Suite D
Hot Springs, AR 71913-4427
Mailing address
100 Greenwood Ave
Suite D
Hot Springs, AR 71913-4427
Phone (501) 625-7800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 172997795 | Medicaid | AR |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP2745 | AR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Therapy Group, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Hot Springs, AR
- NPI 1346384724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267142400000",
"number": "1003138413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 GREENWOOD AVE",
"address_2": "SUITE D",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719134427",
"telephone_number": "501-625-7800",
"fax_number": "501-325-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 GREENWOOD AVE",
"address_2": "SUITE D",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719134427",
"telephone_number": "501-625-7800",
"fax_number": "501-325-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "AMBER",
"middle_name": "N",
"credential": "CCCSLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-26",
"last_updated": "2010-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "SP2745",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "172997795",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hot Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.