Active NPI
Carissa Marie Trantina, SLP
- Speech-Language Pathologist
- Pearcy, AR
National Provider Identifier
1003140047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- #P8222
- Practice address
- 136 Oakbrook St
Pearcy, AR 71964-9464 - Phone
- (501) 767-9351
- Fax
- (501) 767-7909
- NPI assigned
- Sep 23, 2009
- 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 | #P8222 | AR | Primary |
Addresses
Primary practice location
136 Oakbrook St
Pearcy, AR 71964-9464
Mailing address
518 Amity Rd Apt J6
Hot Springs, AR 71913-8657
Phone (501) 463-4905
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| #P8222 | AR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253664000000",
"number": "1003140047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 AMITY RD APT J6",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719138657",
"telephone_number": "501-463-4905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 OAKBROOK ST",
"city": "PEARCY",
"state": "AR",
"postal_code": "719649464",
"telephone_number": "501-767-9351",
"fax_number": "501-767-7909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRANTINA",
"first_name": "CARISSA",
"middle_name": "MARIE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-23",
"last_updated": "2009-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "#P8222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearcy, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.