Yolanda Latrece Peyton, M.S.,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP#1909 Issued in AR

Practice address

4 Mountain Ridge CV
Maumelle, AR 72113-6998

Phone

(501) 803-0252

NPI assigned

Oct 30, 2008

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225324800000",
    "number": "1174776421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MOUNTAIN RIDGE CV",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721136998",
            "telephone_number": "501-803-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MOUNTAIN RIDGE CV",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721136998",
            "telephone_number": "501-803-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEYTON",
        "first_name": "YOLANDA",
        "middle_name": "LATRECE",
        "name_prefix": "Mrs.",
        "credential": "M.S.,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-30",
        "last_updated": "2008-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#1909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BOARD OF EXAMINERS FOR SPEECH PATHOLOGY & AUDIOLOGY",
            "identifier": "SP#1909",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vasundhara Panja, MD
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• Peace at Home Caregivers LLC (SYNERGY HomeCare of Maumelle)
• Adam Perry
• Pharmacy Operations, Inc (Medicine Shoppe)
• Tracy Thomas Phillips, D.O.
• Tyler Pitchford, PHARM.D.
• Anna Prewitt, APRN
• Daniel P. Pritchett, M.D.

• Speech-Language Pathologist in Maumelle, AR
• Providers in Maumelle, 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 Oct 30, 2008; 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.