Active NPI
Nina Riethmaier, M.S., CCC-SLP
- Speech-Language Pathologist
- Bentonville, AR
National Provider Identifier
1245367200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP 2047
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148260721 | Medicaid | AR |
Other names 1
- Nina Butler
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flight Speech Therapy, LLC | Speech-Language Pathologist | Current | 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.
-
- Speech-Language Pathologist
- Bentonville, AR
- NPI 1629693486
-
- Pediatric Physical Therapist
- Pea Ridge, AR
- NPI 1447472865
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.