Jamye Rankin, SLP

Individual provider Active NPI Speech-Language Pathologist · Ward, AR

NPI 1245265172 · NPPES record last updated Dec 11, 2013

Key facts

NPI
1245265172
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP1445 (AR)
Practice address
1500 Wilson Loop
Ward, AR 72176
Phone
(501) 941-5630
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SP1445ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Enterprises for the Developmentally Disabled, Inc. Past Accepting new patients
Allied Therapy and Consulting Services, PA Past
since Apr 24, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP1445 AR Yes

Addresses

Primary practice location

1500 Wilson Loop
Ward, AR 72176

Mailing address

1500 Wilson Loop
Ward, AR 72176
Phone (501) 941-5630

Other identifiers

IdentifierTypeStateIssuer
134152721MedicaidAR
5U637OtherARBLUE CROSS BLUE SHIELD

Other providers in Ward, AR

All providers in Ward, AR · Speech-Language Pathologist in Arkansas

Sources for this page

Verify at the official NPI Registry.