Organization Active NPI

Micha Morgan Lamberson, Inc

  • Speech-Language Pathologist
  • Jonesboro, AR
National Provider Identifier
1083963102
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP#2411 Issued in AR
Legal business name
MICHA MORGAN LAMBERSON, INC
Practice address
2729 E Nettleton Ave
Suite D
Jonesboro, AR 72401-4530
Phone
(870) 598-4477
Fax
(870) 275-6439
NPI assigned
Sep 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Authorized official

Name
Mrs. Micha Morgan Lamberson
Title
Ceo
Phone
(870) 598-4477

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2355S0801X R#12-014 AR
Speech-Language AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2355S0801X 235550801 AR
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X SP#2411 AR Primary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X SP#1608 AR

Addresses

Primary practice location

2729 E Nettleton Ave
Suite D
Jonesboro, AR 72401-4530

Mailing address

4600 Lochmoor Cir
Jonesboro, AR 72401-8152
Phone (870) 598-4477

Other identifiers 1

IdentifierTypeStateIssuer
193112742MedicaidAR

Other names 1

  • Kidabilities Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1083963102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 LOCHMOOR CIR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724018152",
            "telephone_number": "870-598-4477",
            "fax_number": "870-275-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2729 E NETTLETON AVE",
            "address_2": "SUITE D",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014530",
            "telephone_number": "870-598-4477",
            "fax_number": "870-275-6439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHA MORGAN LAMBERSON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "LAMBERSON",
        "authorized_official_first_name": "MICHA",
        "authorized_official_middle_name": "MORGAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-598-4477",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AR",
            "license": "R#12-014",
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AR",
            "license": "235550801",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#2411",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#1608",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193112742",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kidabilities",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.