Active NPI
Corkie Howard, M.S, CCC-SLP
- Speech-Language Pathologist
- Muldrow, OK
National Provider Identifier
1063539880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP#2464
- Practice address
- 476490 E 1060 Rd
Muldrow, OK 74948-5159 - Phone
- (479) 462-3555
- NPI assigned
- Mar 25, 2007
- Last updated
- Apr 26, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP#2464 | AR | Primary |
Addresses
Primary practice location
476490 E 1060 Rd
Muldrow, OK 74948-5159
Mailing address
3214 S 40TH St
Fort Smith, AR 72903-5416
Phone (479) 462-3555
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200344620A | Medicaid | OK | |
| 5956 | Other | OK | OKLAHOMA LICENSES |
| 161556721 | Medicaid | AR | |
| 2464 | Other | AR | ARKANSAS LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| SP#2464 | AR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682467200000",
"number": "1063539880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3214 S 40TH ST",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729035416",
"telephone_number": "479-462-3555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "476490 E 1060 RD",
"city": "MULDROW",
"state": "OK",
"postal_code": "749485159",
"telephone_number": "479-462-3555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "CORKIE",
"credential": "M.S, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-25",
"last_updated": "2023-04-26",
"certification_date": "2023-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "SP#2464",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200344620A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OKLAHOMA LICENSES",
"identifier": "5956",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "161556721",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARKANSAS LICENSE",
"identifier": "2464",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Muldrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.