Tara Ray Wright, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1555SLP Issued in AR

Practice address

105 S Blair St
Springdale, AR 72764-4410

Phone

(479) 259-2339

Fax

(479) 751-4000

NPI assigned

Oct 19, 2016

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

Other names 1

• Tara Lynn Ray Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• 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": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1043761687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S BLAIR ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727644410",
            "telephone_number": "479-259-2339",
            "fax_number": "479-751-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S BLAIR ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727644410",
            "telephone_number": "479-259-2339",
            "fax_number": "479-751-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "TARA",
        "middle_name": "RAY",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "1555SLP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136914721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "RAY",
            "middle_name": "LYNN",
            "credential": "MS CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shannon J Woznick, CRNA
• Allison Anne Wright, LCSW
• Cara Wright, MD
• Jessica Wright
• Joshua Cole William Wright, D.P.T.
• John H Wu, M.D.
• James Martin Wunderle, LPC
• Robin Suzanne Wyckoff, RN
• Alexandria Wyrick
• Ashley Wyrick

• 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 Oct 19, 2016; 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.