Jessica S Howard, SLP
Individual provider Active NPI Speech-Language Pathologist · Beebe, AR
NPI 1205967114 · NPPES record last updated Oct 13, 2020
Key facts
- NPI
- 1205967114
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP# 2166 (AR)
- Practice address
- 242 Dugger Rd
Beebe, AR 72012-3817 - Phone
- (501) 288-6549
- NPI assigned
- Mar 9, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2166 | AR | MD | Registered Dietitian |
| SP# 2166 | AR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Destination Education, LLC | Speech-Language Pathologist | Current |
Accepting new patients |
| Kids Unlimited Learning Academy | Past | Accepting new patients |
Locations
1001 Deese St
Beebe, AR 72012
Phone (501) 239-3353
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2166 | AR | |
| Speech-Language Pathologist | 235Z00000X | SP# 2166 | AR | Yes |
Addresses
Primary practice location
242 Dugger Rd
Beebe, AR 72012-3817
Mailing address
503 Galina St
Optional
Beebe, AR 72012-3812
Phone (501) 288-6549
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 162907321 | Medicaid | AR | |
| 162903721 | Medicaid | AR |
Other providers in Beebe, AR
- Health Way of Beebe Inc
- Brittney Hicks
- Monica Hofheinz
- Janell Holland
- Angela Ray Hosman
- Howell Chiropractic PLLC
- Carrie Ann Ingram
- Cynthia W Ireland
- Katherine Kuykendall Ishmael
- Peyton James
All providers in Beebe, AR · Speech-Language Pathologist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.