Active NPI
Laura Alice Mitchell, C.C.C.-S.L.P.
- Speech-Language Pathologist
- Bearden, AR
National Provider Identifier
1104961028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- #598
- Practice address
- RR 1 Box 65A9
Bearden, AR 71720-9404 - Phone
- (870) 313-1031
- NPI assigned
- Feb 20, 2007
- Last updated
- Jul 9, 2007
- 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 | #598 | AR | Primary |
Addresses
Primary practice location
RR 1 Box 65A9
Bearden, AR 71720-9404
Mailing address
RR 1 Box 65A9
Bearden, AR 71720-9404
Phone (870) 313-1031
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 |
|---|---|---|---|
| #598 | AR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1104961028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 1 BOX 65A9",
"city": "BEARDEN",
"state": "AR",
"postal_code": "717209404",
"telephone_number": "870-313-1031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RR 1 BOX 65A9",
"city": "BEARDEN",
"state": "AR",
"postal_code": "717209404",
"telephone_number": "870-313-1031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "LAURA",
"middle_name": "ALICE",
"name_prefix": "Mrs.",
"credential": "C.C.C.-S.L.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "#598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bearden, AR
- Cabun Rural Health Services, Inc (Bearden Health Center)
- City of Bearden Arkansas (Bearden Ambulance Service)
- Sydney Lauren Freer, COTA/L
- Laura Elizabeth Kirksey, APN
- Megan Elizabeth Launius, LMSW
- Sandra Elaine Mosley, FNP-C
- Kayla Nutt, PTA
- Shelby Rebadomia
- Restoration Reins, PLLC
- Emma Sullivent, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.