Active NPI
Cynthia A Conner, CCC-SLP
- Speech-Language Pathologist
- Lake City, AR
National Provider Identifier
1124274279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP # 261
- Practice address
- 2001 Hwy 18
Lake City, AR 72437-0178 - Phone
- (870) 237-8222
- Fax
- (870) 237-4697
- NPI assigned
- Aug 8, 2008
- 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 | SP # 261 | AR | Primary |
Addresses
Primary practice location
2001 Hwy 18
Lake City, AR 72437-0178
Mailing address
PO Box 178
Lake City, AR 72437-0178
Phone (870) 237-8222
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 |
|---|---|---|---|
| SP # 261 | AR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218153600000",
"number": "1124274279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 178",
"city": "LAKE CITY",
"state": "AR",
"postal_code": "724370178",
"telephone_number": "870-237-8222",
"fax_number": "870-237-4697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 HWY 18",
"city": "LAKE CITY",
"state": "AR",
"postal_code": "724370178",
"telephone_number": "870-237-8222",
"fax_number": "870-237-4697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNER",
"first_name": "CYNTHIA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-08",
"last_updated": "2008-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "SP # 261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake City, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.