Individual provider Active NPI

Susanne Viguerie, MS, CCC-SLP

  • Speech-Language Pathologist
  • Little Rock, AR
National Provider Identifier
1043631807
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP#P8733 Issued in AR
Practice address
6321 Kavanaugh Blvd Apt 7
Little Rock, AR 72207-4240
Phone
(501) 282-3691
NPI assigned
Dec 21, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP#P8733 AR Primary

Addresses

Primary practice location

6321 Kavanaugh Blvd Apt 7
Little Rock, AR 72207-4240

Mailing address

3515 E Redwood Dr
Fayetteville, AR 72703-6646
Phone (501) 282-3691

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

LicenseStateTypeSpecialty
SP#P8733ARMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1387584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1043631807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 E REDWOOD DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036646",
            "telephone_number": "501-282-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6321 KAVANAUGH BLVD APT 7",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722074240",
            "telephone_number": "501-282-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGUERIE",
        "first_name": "SUSANNE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-21",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#P8733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.