Individual provider Active NPI

Kyra Sampaio Resende

  • Speech-Language Pathologist
  • Rogers, AR
National Provider Identifier
1083489280
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
203186 Issued in AR
Practice address
500 W Walnut St
Rogers, AR 72756-3774
Phone
(479) 636-3910
NPI assigned
Nov 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X
Speech-Language Pathologist 235Z00000X 203186 AR Primary

Addresses

Primary practice location

500 W Walnut St
Rogers, AR 72756-3774

Mailing address

500 W Walnut St
Rogers, AR 72756-3774
Phone (479) 636-3910

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

State licenses

LicenseStateTypeSpecialty
203186ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rogers Public Schools PastSince Aug 17, 2025 Accepting new patients
Kids for the Future Rogers, Inc. PastSince Nov 1, 2023 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1083489280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W WALNUT ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563774",
            "telephone_number": "479-636-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W WALNUT ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563774",
            "telephone_number": "479-636-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESENDE",
        "first_name": "KYRA",
        "middle_name": "SAMPAIO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-17",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "203186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.