Angela Dyan Alderson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP 2162 Issued in AR

Practice address

114 Holly St
Lonoke, AR 72086

Phone

(501) 438-5274

NPI assigned

Mar 16, 2011

Last updated

Jan 4, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1300233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1013216035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34",
            "city": "BRADFORD",
            "state": "AR",
            "postal_code": "720200034",
            "telephone_number": "501-438-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 HOLLY ST",
            "city": "LONOKE",
            "state": "AR",
            "postal_code": "72086",
            "telephone_number": "501-438-5274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDERSON",
        "first_name": "ANGELA",
        "middle_name": "DYAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-16",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP 2162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145177721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Access Medical Clinic Arkansas LTC LLC
• Gregory Flinn Adams, APRN-CNP-PMHNP
• Leslie F Anderson, M.D.
• Arcare (ARcare Pharmacy 125)
• Arcare (ARcare 47)
• Arkansas Health & Rehab LLC (Lonoke Physical Therapy)
• Arkansas Health Group (Baptist Health Family Clinic - Lonoke)

• Speech-Language Pathologist in Lonoke, AR
• Providers in Lonoke, 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 Jan 4, 2023; 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.