Individual provider Active NPI

Gloria Louise Brown, M.C.D. CCC/SLP

  • Speech-Language Pathologist
  • Harrisburg, AR
National Provider Identifier
1093961617
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1861 Issued in AR
Practice address
1606 Pine Grove LN
Harrisburg, AR 72432-9304
Phone
(870) 578-5426
Fax
(870) 578-6005
NPI assigned
Aug 14, 2008
Last updated
Aug 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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 1861 AR Primary

Addresses

Primary practice location

1606 Pine Grove LN
Harrisburg, AR 72432-9304

Mailing address

PO Box 19084
Jonesboro, AR 72403-6600
Phone (870) 802-4267

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
1861ARMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Crowley's Ridge Education Services Co-Op Past Accepting new patients

Organizations & group practices 1

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": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1093961617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19084",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724036600",
            "telephone_number": "870-802-4267",
            "fax_number": "870-802-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 PINE GROVE LN",
            "city": "HARRISBURG",
            "state": "AR",
            "postal_code": "724329304",
            "telephone_number": "870-578-5426",
            "fax_number": "870-578-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "GLORIA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "M.C.D. CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "1861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.