Ali Susanne Bass

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Practice address

3497 Wagon Wheel Rd
Springdale, AR 72762-0115

Phone

(479) 717-2467

NPI assigned

Mar 22, 2022

Sex

Female

Sole proprietor

No

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.

• Advanced Monitoring Services LLC

  • Electroneurodiagnostic Specialist/Technologist
  • Springdale, AR
  • NPI 1093854473
  NPD (past) ELECTRONEURODIAGNOSTIC

• Ali Vandergriff Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 22, 2022.

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1134878671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3497 WAGON WHEEL RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3497 WAGON WHEEL RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620115",
            "telephone_number": "479-717-2467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "ALI",
        "middle_name": "SUSANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALI",
            "last_name": "VANDERGRIFF",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Scott Bartholomew, COTA
• David Clair Barton Jr., CIT
• Carly Lynn Bartow-Kettelhut
• Bailee Basinger
• Basis Internal Medicine LLC
• Mary Dale Bassett, RN
• Shawna M Bateson
• Rosemay Pierre Batta- Mpouma, M.D.
• Esmeralda Battafarano, MHPP
• Regina Baty

• All providers in Springdale, AR
• Electroneurodiagnostic Specialist/Technologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.