Active NPI
Ashley Smith
- Speech-Language Pathologist
- Benton, AR
National Provider Identifier
1184286551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 201142
- Practice address
- 1025 Heritage Way
Benton, AR 72019-7057 - Phone
- (501) 326-3203
- NPI assigned
- Jul 5, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Speech-Language Pathologist | 235Z00000X | 201142 | AR | Primary |
Addresses
Primary practice location
1025 Heritage Way
Benton, AR 72019-7057
Mailing address
1025 Heritage Way
Benton, AR 72019-7057
Phone (501) 326-3203
Other practice location 1
17706 Interstate 30 N
Benton, AR 72019-2907
Phone (501) 315-4414
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ashleysmithcccslp@gmail.com |
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 |
|---|---|---|---|
| 201142 | AR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reach Behavioral Health | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623369600000",
"number": "1184286551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 HERITAGE WAY",
"city": "BENTON",
"state": "AR",
"postal_code": "720197057",
"telephone_number": "501-326-3203",
"fax_number": "501-325-2296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 HERITAGE WAY",
"city": "BENTON",
"state": "AR",
"postal_code": "720197057",
"telephone_number": "501-326-3203"
}
],
"practiceLocations": [
{
"address_1": "17706 Interstate 30 N",
"address_purpose": "LOCATION",
"city": "Benton",
"state": "AR",
"postal_code": "720192907",
"country_code": "US",
"telephone_number": "501-315-4414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "ASHLEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-05",
"last_updated": "2021-06-11",
"certification_date": "2021-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "201142",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "ashleysmithcccslp@gmail.com",
"affiliation": "N",
"address_1": "1025 Heritage Way",
"city": "Benton",
"state": "AR",
"country_code": "US",
"postal_code": "720197057",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Benton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.