Individual provider Active NPI

Sarah Kimberly Hall, M.S

  • Speech-Language Pathologist
  • West Memphis, AR
National Provider Identifier
1114197696
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP#2998 Issued in AR
Practice address
310 Mid Continent PLZ
Suite 185
West Memphis, AR 72301-1760
Phone
(501) 288-7400
NPI assigned
Mar 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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 SP#2998 AR Primary

Addresses

Primary practice location

310 Mid Continent PLZ
Suite 185
West Memphis, AR 72301-1760

Mailing address

203 Adele CV
Marion, AR 72364-2658
Phone (501) 288-7400

Other identifiers 3

IdentifierTypeStateIssuer
166555721MedicaidAR
1114197696OtherARBLUE CROSS BLUE SHIELD
1114197696OtherARUSABLE

Other names 1

  • Sarah Kimberly Agee Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150318000823 AR Practitioner - Qualified Speech Language Pathologist 7214254960 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP#2998ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Holt Therapy and Wellness, PLLC CurrentSince Sep 1, 2014 Accepting new patients

Locations

310 Mid Continent Plz
Ste 185
West Memphis, AR 72301
Phone (870) 732-2828

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1114197696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 ADELE CV",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723642658",
            "telephone_number": "501-288-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MID CONTINENT PLZ",
            "address_2": "SUITE 185",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723011760",
            "telephone_number": "501-288-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "SARAH",
        "middle_name": "KIMBERLY",
        "credential": "M.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-11",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#2998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166555721",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1114197696",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USABLE",
            "identifier": "1114197696",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "AGEE",
            "middle_name": "KIMBERLY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Memphis, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.