Meagan Buckley – Speech-Language Pathologist

Key facts

NPI: 1134522840
Entity type: Individual (NPI type 1)
Primary specialty: Speech-Language Pathologist 235Z00000X
License: SP#P8853 (AR)
Practice address: 12410 Cantrell Rd Ste 200
Little Rock, AR 72223-1704
Phone: (501) 224-1418
Fax: (501) 224-1917
NPI assigned: Oct 8, 2014
Sex: Female
Sole proprietor: Yes

Organizations & group practices 2

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.

All Children'S Academy Speech-Language Pathologist · Little Rock, AR · NPI 1497027346

NPD (past) SPEECH-LANGUAGE PATHOLOGIST
All Children'S Therapy, Inc Speech-Language Pathologist · Little Rock, AR · NPI 1003112160

NPD (past) SPEECH-LANGUAGE PATHOLOGIST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
SP#P8853	AR	MD	Speech-Language Pathologist

Practice roles

Organization	Specialty	Status	New patients
All Children'S Academy	Speech-Language Pathologist	Past	Accepting new patients
All Children'S Therapy, Inc	Speech-Language Pathologist	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Speech-Language Pathologist	235Z00000X	SP#P8853	AR	Yes

Addresses

Primary practice location

12410 Cantrell Rd Ste 200
Little Rock, AR 72223-1704

Mailing address

12410 Cantrell Rd Ste 200
Little Rock, AR 72223-1704
Phone (501) 224-1418

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 8, 2014.

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1134522840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12410 CANTRELL RD STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722231704",
            "telephone_number": "501-224-1418",
            "fax_number": "501-224-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12410 CANTRELL RD STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722231704",
            "telephone_number": "501-224-1418",
            "fax_number": "501-224-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "MEAGAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#P8853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

All providers in Little Rock, AR · Speech-Language Pathologist in Arkansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2014. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.