Active NPI
Shekasha Frost, CCC-SLP
- Speech-Language Pathologist
- Fayetteville, AR
National Provider Identifier
1104150432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2540
- Practice address
- 2603 Main Dr Ste 3
Fayetteville, AR 72704-5281 - Phone
- (479) 856-6640
- Fax
- (479) 856-6623
- NPI assigned
- Sep 18, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 2540 | AR | Primary |
Addresses
Primary practice location
2603 Main Dr Ste 3
Fayetteville, AR 72704-5281
Mailing address
2614 Meadow VW Apt 3
Fayetteville, AR 72704-9348
Phone (870) 918-8632
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2540 | AR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253232000000",
"number": "1104150432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2614 MEADOW VW APT 3",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727049348",
"telephone_number": "870-918-8632",
"fax_number": "479-856-6623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2603 MAIN DR STE 3",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727045281",
"telephone_number": "479-856-6640",
"fax_number": "479-856-6623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROST",
"first_name": "SHEKASHA",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-18",
"last_updated": "2009-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "2540",
"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 Sep 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.