Individual provider Active NPI

Sarah Poole

  • Speech-Language Pathologist
  • Batesville, AR
National Provider Identifier
1205297322
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
976 Issued in AR
Practice address
2955 Juniper Dr
Batesville, AR 72501-7806
Phone
(870) 613-9006
NPI assigned
Mar 17, 2016
Last updated
Mar 17, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 976 AR Primary

Addresses

Primary practice location

2955 Juniper Dr
Batesville, AR 72501-7806

Mailing address

2955 Juniper Dr
Batesville, AR 72501-7806
Phone (870) 613-9006

Other identifiers 1

IdentifierTypeStateIssuer
127293721MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210607000261 AR Practitioner - Qualified Speech Language Pathologist 4082014477 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gross Therapy Services, Inc. Speech-Language Pathologist CurrentSince May 17, 2021 Accepting new patients
Newport Advanced Physical Therapy, Inc. Past Accepting new patients

Locations

2080 Harrison St
Ste A
Batesville, AR 72501
Phone (870) 569-8167

430 Highway 56
Calico Rock, AR 72519
Phone (870) 916-2036

1441 Highway 62 412
Highland, AR 72542
Phone (870) 856-9675

31 School Dr
Melbourne, AR 72556
Phone (870) 300-2112

347 Highway 62 E
Mountain Home, AR 72653
Phone (870) 232-5999

1725 Batesville Blvd
Southside, AR 72501
Phone (870) 455-9448

9818 Highway 62 W
Viola, AR 72583
Phone (870) 321-4457

1006 W Main St
Walnut Ridge, AR 72476
Phone (870) 539-9989

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1205297322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 JUNIPER DR",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017806",
            "telephone_number": "870-613-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 JUNIPER DR",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017806",
            "telephone_number": "870-613-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127293721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.