Madison Lavalle, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

202209 Issued in AR

Practice address

3201 SW Regency Pkwy Ste 5
Bentonville, AR 72712-7488

Phone

(479) 252-3321

Fax

(479) 658-2257

NPI assigned

May 26, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Fusion Therapy Center, LLC

  • Speech-Language Pathologist
  • Bentonville, AR
  • NPI 1801552435
  Medicare reassignment NPD

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1235822263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 SW REGENCY PKWY STE 5",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127488",
            "telephone_number": "479-252-3321",
            "fax_number": "479-658-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 SW REGENCY PKWY STE 5",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127488",
            "telephone_number": "479-252-3321",
            "fax_number": "479-658-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVALLE",
        "first_name": "MADISON",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "202209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hilda Lara, MHPP
• Austin B Larey
• Alexandra Lauerhahs
• Amy Laughlin, LPC
• Lauren K Poindexter MD PLLC
• Andrew Layendecker
• Nathan James Layng
• Deseret Lauree Lazarte, LAMFT, LAC
• Anthony Orlando Le, DC
• Cindy Le

• Speech-Language Pathologist in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.