Katie Decavitch

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

333 Executive CT
Little Rock, AR 72205-4550

Phone

(501) 526-8710

NPI assigned

Jun 3, 2016

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

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1043669732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 COULTER RD",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721205919",
            "telephone_number": "501-251-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 EXECUTIVE CT",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054550",
            "telephone_number": "501-526-8710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 Hawkins Dr",
            "address_purpose": "LOCATION",
            "city": "Searcy",
            "state": "AR",
            "postal_code": "721434802",
            "country_code": "US",
            "telephone_number": "501-278-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DECAVITCH",
        "first_name": "KATIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles William Deaton Jr., MD
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• Ashton Decker, OTD, OTR/L
• Macey Kay Decker
• Tricia E Decker, MS CCC SLP
• Leonie Declerk, APN
• Rex Paul Brady Declerk, D.C.

• All providers in Little Rock, AR
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.