Active NPI
Jeana Beth Scott, MS, CCC-SLP
- Speech-Language Pathologist
- Fayetteville, AR
National Provider Identifier
1013043926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP#711
- Practice address
- 16 W Colt Square Dr
Fayetteville, AR 72703-2813 - Phone
- (479) 587-9201
- Fax
- (479) 527-9439
- NPI assigned
- Feb 26, 2007
- 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 | SP#711 | AR | Primary |
Addresses
Primary practice location
16 W Colt Square Dr
Fayetteville, AR 72703-2813
Mailing address
PO Box 9626
Fayetteville, AR 72703-0028
Phone (479) 587-9201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5X530 | Other | AR | BCBS |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP#711 | AR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1013043926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9626",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727030028",
"telephone_number": "479-587-9201",
"fax_number": "479-527-9439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 W COLT SQUARE DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727032813",
"telephone_number": "479-587-9201",
"fax_number": "479-527-9439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "JEANA",
"middle_name": "BETH",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "SP#711",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5X530",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.