Autumn Treasure Speaight, MCD, CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

202091 Issued in AR

Practice address

75 Highway 62 412 Ste L
Ash Flat, AR 72513-9629

Phone

(870) 243-6292

NPI assigned

Jan 26, 2023

Last updated

Jan 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1124734736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 FOREST MIST LN",
            "city": "CAMP",
            "state": "AR",
            "postal_code": "725209589",
            "telephone_number": "870-421-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 HIGHWAY 62 412 STE L",
            "city": "ASH FLAT",
            "state": "AR",
            "postal_code": "725139629",
            "telephone_number": "870-243-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEAIGHT",
        "first_name": "AUTUMN",
        "middle_name": "TREASURE",
        "credential": "MCD, CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "202091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autumn Smith
• Cindy Smith, LAC
• Jacquelyn Smith, LPN
• Ronica Smith, RECOVERY ASSISTANT
• Debra L South, RECOVERY ASSISTANT
• Sophia Spurlock, RECOVERY ASSISTANT
• Renee Stanford, RECOVERY ASSISTANT
• Tiffany Stanford, RECOVERY ASSISTANT
• State of Arkansas (Sharp County Health Unit)
• Steven Goacher DDS PLLC (All About Smiles Family Dental)

• Speech-Language Pathologist in Ash Flat, AR
• Providers in Ash Flat, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.