Individual provider Active NPI

Claire Petrie, MS, CCC-SLP

  • Speech-Language Pathologist
  • Fayetteville, AR
National Provider Identifier
1083396394
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
202343 Issued in AR
Practice address
4155 N Steele Blvd Ste 80
Fayetteville, AR 72703-5394
Phone
(479) 422-9404
NPI assigned
Aug 4, 2023
Last updated
May 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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 202343 AR Primary

Addresses

Primary practice location

4155 N Steele Blvd Ste 80
Fayetteville, AR 72703-5394

Mailing address

4155 N Steele Blvd Ste 80
Fayetteville, AR 72703-5394
Phone (479) 422-9404

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
202343ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bridges Therapy Group, PLLC Speech-Language Pathologist PastSince Jun 3, 2025 Accepting new patients
Post 0218, PLC PastSince Jul 28, 2024 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1083396394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 N STEELE BLVD STE 80",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035394",
            "telephone_number": "479-422-9404",
            "fax_number": "833-595-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 N STEELE BLVD STE 80",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035394",
            "telephone_number": "479-422-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRIE",
        "first_name": "CLAIRE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-04",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "202343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.