Active NPI
Tara Stevenson, MS CCC-SLP
- Speech-Language Pathologist
- Greenbrier, AR
National Provider Identifier
1104095694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- P7988
- Practice address
- 8 S Broadview St
Greenbrier, AR 72058-9601 - Phone
- (501) 581-6045
- NPI assigned
- Feb 28, 2008
- 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 | P7988 | AR | Primary |
Addresses
Primary practice location
8 S Broadview St
Greenbrier, AR 72058-9601
Mailing address
PO Box 933
Greenbrier, AR 72058-0933
Phone (501) 581-6045
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164775721 | Medicaid | AR |
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 |
|---|---|---|---|
| P7988 | AR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy 4 Kids | Past | Accepting new patients | |
| Therapy 4 Kids, LLC | Past | 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.
-
- Rehabilitation Practitioner
- Greenbrier, AR
- NPI 1992831234
-
- Rehabilitation Practitioner
- Greenbrier, AR
- NPI 1780849364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218585600000",
"number": "1104095694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 933",
"city": "GREENBRIER",
"state": "AR",
"postal_code": "720580933",
"telephone_number": "501-581-6045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 S BROADVIEW ST",
"city": "GREENBRIER",
"state": "AR",
"postal_code": "720589601",
"telephone_number": "501-581-6045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENSON",
"first_name": "TARA",
"credential": "MS CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-28",
"last_updated": "2008-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "P7988",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "164775721",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenbrier, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.