Micah Joel Smith

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

34057 Issued in CA

Practice address

1276 E Ash St
Fayetteville, AR 72703-3057

Phone

(479) 790-0684

NPI assigned

Jun 13, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1003309154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 E ASH ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033057",
            "telephone_number": "479-790-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 E ASH ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033057",
            "telephone_number": "479-790-0684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICAH",
        "middle_name": "JOEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-13",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "34057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellye A Smith, M.D.
• Lamario J Smith
• Linda McKennon Smith, RNC, MS, NP
• Makenzie H Smith, LPC
• Marci Smith, PHARM.D.
• Najeeah Smith, LCSW
• Pamela Faye Smith, MSW
• Peyton Elaine Smith, QBHP
• Raleigh Jo Smith
• Rebecca Smith, SLP

• Speech-Language Pathologist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.

Verify at the official NPI Registry.