Alix Parker, MCD, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP2216 Issued in AR

Practice address

519 Latham Dr
Lowell, AR 72745-8360

Phone

(479) 750-0130

NPI assigned

Feb 20, 2007

Last updated

Apr 24, 2019By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kids Spot LLC

  • Physical Therapy Clinic/Center
  • Springdale, AR
  • NPI 1174845358

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1174668982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 LATHAM DR",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727458360",
            "telephone_number": "479-273-2345",
            "fax_number": "479-273-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 LATHAM DR",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727458360",
            "telephone_number": "479-750-0130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 S Blair St",
            "address_purpose": "LOCATION",
            "city": "Springdale",
            "state": "AR",
            "postal_code": "727644410",
            "country_code": "US",
            "telephone_number": "479-259-2339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "ALIX",
        "credential": "MCD, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP2216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158955721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark F Olsen, M.D.
• Terryl Jean Ortego, M.D.
• Ozark Modern Dentistry, PLLC
• Ozark Modern Dentistry, PLLC
• Mitchell Padgett
• Ramie Parsons
• Payal Patel
• Jaclyn Pennington, CCLS
• Christeena Pershall, LPTA
• Petty Medical Clinic, LLC

• Speech-Language Pathologist in Lowell, AR
• Providers in Lowell, 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 Apr 24, 2019; 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.