Active NPI
Wendy Florick
- Behavior Analyst
- Springdale, AR
National Provider Identifier
1235145707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-13-13750
- Practice address
- 6836 Isaac'S Orchard Rd
Springdale, AR 72762-7096 - Phone
- (479) 927-4100
- Fax
- (479) 927-4101
- NPI assigned
- Aug 1, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1898 | AR | |
| Behavior Analyst | 103K00000X | 1-13-13750 | AR | Primary |
Addresses
Primary practice location
6836 Isaac'S Orchard Rd
Springdale, AR 72762-7096
Mailing address
6836 Isaac'S Orchard Rd
Springdale, AR 72762-7096
Phone (479) 927-4100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146031721 | Medicaid | AR | |
| 5W835 | Other | AR | BLUE CROSS/BLUE SHIELD |
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 |
|---|---|---|---|
| 1898 | AR | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Support Network, Inc | Current | Accepting new patients | |
| Arkansas Support Network | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Case Management Agency
- Springdale, AR
- NPI 1720601412
-
- Developmentally Disabled Services Day Training Agency
- Springdale, AR
- NPI 1508190273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570579200000",
"number": "1235145707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6836 ISAAC'S ORCHARD RD",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727627096",
"telephone_number": "479-927-4100",
"fax_number": "479-927-4101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6836 ISAAC'S ORCHARD RD",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727627096",
"telephone_number": "479-927-4100",
"fax_number": "479-927-4101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORICK",
"first_name": "WENDY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2019-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "1898",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AR",
"license": "1-13-13750",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "146031721",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "5W835",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.