Active NPI
Mitchell David Barker, CCC-SLP
- Speech-Language Pathologist
- Bentonville, AR
National Provider Identifier
1003275454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP#P8918
- Practice address
- 1202 NE McClain Rd
Bentonville, AR 72712-3875 - Phone
- (616) 255-6609
- NPI assigned
- Feb 14, 2016
- Last updated
- Sep 29, 2026
- Sex
- Male
- 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 | SP#P8918 | AR | Primary |
Addresses
Primary practice location
1202 NE McClain Rd
Bentonville, AR 72712-3875
Mailing address
2703 W Gum St
Rogers, AR 72758-4849
Phone (616) 255-6609
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 |
|---|---|---|---|
| SP#P8918 | AR | MD | Speech-Language Pathologist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Bentonville, AR
- NPI 1922469246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1003275454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2703 W GUM ST",
"city": "ROGERS",
"state": "AR",
"postal_code": "727584849",
"telephone_number": "616-255-6609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 NE MCCLAIN RD",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123875",
"telephone_number": "616-255-6609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARKER",
"first_name": "MITCHELL",
"middle_name": "DAVID",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-14",
"last_updated": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "SP#P8918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.