Stephanie R. L. Hall, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP#1904 Issued in AR

Practice address

202 N Walton Blvd Ste 34
Bentonville, AR 72712-5175

Phone

(479) 431-6141

Fax

(479) 282-0414

NPI assigned

Jan 9, 2007

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 2

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Flight Speech Therapy, LLC

  • Speech-Language Pathologist
  • Bentonville, AR
  • NPI 1629693486
  Medicare reassignment NPD
• Kids Spot LLC

  • Physical Therapy Clinic/Center
  • Springdale, AR
  • NPI 1174845358

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1023167145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N WALTON BLVD STE 34",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125175",
            "telephone_number": "479-431-6141",
            "fax_number": "479-282-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N WALTON BLVD STE 34",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125175",
            "telephone_number": "479-431-6141",
            "fax_number": "479-282-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "STEPHANIE",
        "middle_name": "R. L.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#1904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS SPEECH LICENSE",
            "identifier": "SP 1904",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145600721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hales Human Performance
• Benjamin D Hall, DDS
• David Clinton Hall, MD
• Freddie Dewayne Hall, MHPP
• Kathleen Mary Hall, CRNA
• Halstead & Halstead, LLC
• Kathleen Hamblin
• Elika Y Hamer
• Lance Lee Hamilton, M.D.
• Sheena Hampton

• Speech-Language Pathologist in Bentonville, AR
• Providers in Bentonville, 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 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.