Brenda Carole Vonohlen

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP1127 Issued in AR

Practice address

5532 JFK Blvd
North Little Rock, AR 72116-6708

Phone

(501) 588-3211

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Allied Therapy and Consulting Services, PA

  • Specialist
  • North Little Rock, AR
  • NPI 1134185937
  Medicare reassignment NPD
• Arkansas Enterprises for the Developmentally Disabled, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Little Rock, AR
  • NPI 1184634610
  NPD (past)
• Beyond Boundaries, Inc

  • Physical Therapist
  • Ward, AR
  • NPI 1134355043

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1174669063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 ORANGE ST",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721184978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5532 JFK BLVD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721166708",
            "telephone_number": "501-588-3211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Wilson Loop",
            "address_purpose": "LOCATION",
            "city": "Ward",
            "state": "AR",
            "postal_code": "72176",
            "country_code": "US",
            "telephone_number": "501-941-5630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VONOHLEN",
        "first_name": "BRENDA",
        "middle_name": "CAROLE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP1127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142559721",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "5W374",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Vestal, MS, CCC-SLP
• Shastyn Villines
• Sindi Vishaj
• Kristen Viverito, PSYD
• Amy Vollman, M.C.D., CCC-SLP
• Lee Ann Voss
• Vinayasrivalli Vunnava
• Tracy Amanda Waddle, LCSW
• Lyrayna M Waddy
• Brittany Chasey Wade

• Speech-Language Pathologist in North Little Rock, AR
• Providers in North Little Rock, 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 Mar 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.