Individual provider Active NPI

Nina Riethmaier, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Bentonville, AR
National Provider Identifier
1245367200
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP 2047 Issued in AR
Practice address
202 N Walton Blvd Ste 34
Bentonville, AR 72712-5175
Phone
(479) 431-6141
Fax
(479) 282-0414
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP 2047 AR Primary

Addresses

Primary practice location

202 N Walton Blvd Ste 34
Bentonville, AR 72712-5175

Mailing address

PO Box 585
Pea Ridge, AR 72751-0585
Phone (479) 273-2345

Other identifiers 1

IdentifierTypeStateIssuer
148260721MedicaidAR

Other names 1

  • Nina Butler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220809001966 AR Practitioner - Qualified Speech Language Pathologist 6103208053 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Flight Speech Therapy, LLC Speech-Language Pathologist CurrentSince Jul 18, 2022 Accepting new patients
Northwest Arkansas Pediatric Therapy Services, Inc Past Accepting new patients

Locations

202 N Walton Blvd
Ste 34
Bentonville, AR 72712
Phone (479) 431-6141

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.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1245367200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 585",
            "city": "PEA RIDGE",
            "state": "AR",
            "postal_code": "727510585",
            "telephone_number": "479-273-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N WALTON BLVD STE 34",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125175",
            "telephone_number": "479-431-6141",
            "fax_number": "479-282-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIETHMAIER",
        "first_name": "NINA",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP 2047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148260721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NINA",
            "last_name": "BUTLER",
            "credential": "M.S., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.