Makenna Marie Sisson, MCD, CFY-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

201712 Issued in AR

Practice address

6815 Isaacs Orchard Rd Ste D
Springdale, AR 72762-6285

Phone

(479) 856-6400

NPI assigned

Feb 2, 2022

Sex

Female

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": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1013660737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6815 ISAACS ORCHARD RD STE D",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626285",
            "telephone_number": "479-856-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6815 ISAACS ORCHARD RD STE D",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626285",
            "telephone_number": "479-856-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISSON",
        "first_name": "MAKENNA",
        "middle_name": "MARIE",
        "credential": "MCD, CFY-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "201712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Diane Singer, MHPP
• Amber Singleton, CADC,PRSS
• Abigail Mildred Sinha
• Blair Sipes, D.C, ATC
• Julie Ann Sisemore, LPN
• Wendy Leigh Sisson, APN
• Victoria Rose Sisto
• William Tanner Sitton
• Jalen Skaggs
• Chere M Skinner, OTRL

• Speech-Language Pathologist in Springdale, AR
• Providers in Springdale, 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 Feb 2, 2022; 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.