Individual provider Active NPI

Anna Elizabeth Williams, MS, CF-SLP

  • Speech-Language Pathologist
  • Bentonville, AR
National Provider Identifier
1255173720
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
202740 Issued in AR
Practice address
202 N Walton Blvd Ste 34
Bentonville, AR 72712-5175
Phone
(479) 431-6141
NPI assigned
Jun 6, 2024
Last updated
Jun 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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 202740 AR Primary

Addresses

Primary practice location

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

Mailing address

2648 N Ward Dr
Fayetteville, AR 72704-5163
Phone (573) 717-6341

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
202740ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Flight Speech Therapy, LLC Speech-Language Pathologist CurrentSince Jun 9, 2024 Accepting new patients

Locations

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

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1255173720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2648 N WARD DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727045163",
            "telephone_number": "573-717-6341"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ANNA",
        "middle_name": "ELIZABETH",
        "credential": "MS, CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "202740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.