Mary Quin Rabren

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

201556 Issued in AR

Practice address

3162 M.L.K. Jr Blvd Ste 4
Fayetteville, AR 72704-4741

Phone

(479) 435-6636

NPI assigned

Aug 7, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Reconnections Cognitive Speech TherapyGroup PAC ID 7214475367, 2 clinicians

Practice addresses (Care Compare)

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.

• Reconnections Cognitive Speech Therapy

  • Speech-Language Pathologist
  • Rogers, AR
  • NPI 1952146482
  Medicare reassignment Care Compare group NPD
• Kindred Pediatric Therapy, PLC

  • Physical Therapy Clinic/Center
  • Fayetteville, AR
  • NPI 1508574963
  NPD
• Bentonville Public Schools

  • Local Education Agency (LEA)
  • Bentonville, AR
  • NPI 1902941255
  NPD (past)

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

{
    "created_epoch": "1628294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1194499608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13584 MCALPIN RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727044741",
            "telephone_number": "479-684-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3162 M.L.K. JR BLVD STE 4",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727044741",
            "telephone_number": "479-435-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABREN",
        "first_name": "MARY",
        "middle_name": "QUIN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-07",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "201556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194499608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• R & R Medical Inc
• R & R Medical Inc
• R & R Medical, Inc.
• R Dean McNeal DDS PA
• Susan L Raben-Taylor, M.D.
• Aeris Shaye Rabroker
• Rachel Treuting DO LLC
• Alexis Racheotes, DC
• Taylor Racht
• Nancy Jane Radcliffe, LCSW

• Speech-Language Pathologist in Fayetteville, AR
• Providers in Fayetteville, 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 Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.