Active NPI
Rebecca Kay Davis, CCC-SLP
- Speech-Language Pathologist
- Little Rock, AR
National Provider Identifier
1225042302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1046
- Practice address
- 2700 Main Street
Little Rock, AR 72206 - Phone
- (507) 447-6744
- Fax
- (501) 315-3467
- NPI assigned
- Jul 27, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 1046 | AR | Primary |
Addresses
Primary practice location
2700 Main Street
Little Rock, AR 72206
Mailing address
403 Wildcreek Circle
Little Rock, AR 72223
Phone (501) 831-4327
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5T094 | Other | AR | AR BCBS |
| 127558721 | Medicaid | AR |
Other names 1
- Mrs. Rebecca Kay Domon
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 |
|---|---|---|---|
| 1046 | AR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694131200000",
"number": "1225042302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 WILDCREEK CIRCLE",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "72223",
"telephone_number": "501-831-4327",
"fax_number": "501-315-3467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 MAIN STREET",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "72206",
"telephone_number": "507-447-6744",
"fax_number": "501-315-3467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "REBECCA",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2023-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "1046",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AR BCBS",
"identifier": "5T094",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127558721",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "DOMON",
"middle_name": "KAY",
"prefix": "MRS.",
"credential": "CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.