Active NPI
Marci Jeter, MS-CCC, SLP
- Speech-Language Pathologist
- Little Rock, AR
National Provider Identifier
1164658134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3163
- Practice address
- 3920 Woodland Heights Rd
Little Rock, AR 72212-2495 - Phone
- (870) 421-6266
- NPI assigned
- Jun 4, 2009
- 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 | 3163 | AR | Primary |
Addresses
Primary practice location
3920 Woodland Heights Rd
Little Rock, AR 72212-2495
Mailing address
2107 Weidner St
Stuttgart, AR 72160-6438
Phone (870) 421-6266
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 |
|---|---|---|---|
| 3163 | AR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342569600000",
"number": "1164658134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2107 WEIDNER ST",
"city": "STUTTGART",
"state": "AR",
"postal_code": "721606438",
"telephone_number": "870-421-6266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 WOODLAND HEIGHTS RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722122495",
"telephone_number": "870-421-6266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JETER",
"first_name": "MARCI",
"credential": "MS-CCC, SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-04",
"last_updated": "2012-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "3163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.