Active NPI
Desiree Mariah Penkunas, SLP
- Speech-Language Pathologist
- Paragould, AR
National Provider Identifier
1215577184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 200951
- Practice address
- 1910 Rector Rd
Paragould, AR 72450-2004 - Phone
- (870) 240-8900
- NPI assigned
- Jan 8, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 200951 | AR | Primary |
Addresses
Primary practice location
1910 Rector Rd
Paragould, AR 72450-2004
Mailing address
1812 Woodland Dr
Paragould, AR 72450-4022
Phone (870) 215-3715
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200951 | Other | AR | PROVISIONAL AR LICENSE SPEECH PATHOLOGY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | TAOS |
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 |
|---|---|---|---|
| 200951 | AR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hands on Learning, LLC. | 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": "1578441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746057600000",
"number": "1215577184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1812 WOODLAND DR",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "724504022",
"telephone_number": "870-215-3715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 RECTOR RD",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "724502004",
"telephone_number": "870-240-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENKUNAS",
"first_name": "DESIREE",
"middle_name": "MARIAH",
"name_prefix": "Ms.",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-08",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "200951",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVISIONAL AR LICENSE SPEECH PATHOLOGY",
"identifier": "200951",
"state": "AR"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "TAOS",
"affiliation": "N",
"address_1": "146 Linwood Dr",
"city": "Paragould",
"state": "AR",
"country_code": "US",
"postal_code": "724504077",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Paragould, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.