Regina Tackett, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP#1590 Issued in AR

Practice address

518 E Front St
Lonoke, AR 72086-3262

Phone

(501) 676-2786

Fax

(501) 676-0697

NPI assigned

Sep 13, 2006

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Building Bridges Developmental and Community Services

  • Developmental Disabilities Clinic/Center
  • Lonoke, AR
  • NPI 1649280140
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1255435756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 980",
            "city": "LONOKE",
            "state": "AR",
            "postal_code": "720860980",
            "telephone_number": "501-676-2786",
            "fax_number": "501-676-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 E FRONT ST",
            "city": "LONOKE",
            "state": "AR",
            "postal_code": "720863262",
            "telephone_number": "501-676-2786",
            "fax_number": "501-676-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACKETT",
        "first_name": "REGINA",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#1590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Stiles, MSW, MHPP
• Amanda Kay Stock, LPN
• Sara Camille Sullivan, RN, LMT
• Angela Katherine Sumner, PHARMD
• Thomas L Sustich, DPT
• Ebony Thompson, NP
• Emily Tillman
• Tonya R Topps
• Lindsey Johnson Treadway, M.S., CCC/SLP
• Rosemary Turner

• Speech-Language Pathologist in Lonoke, AR
• Providers in Lonoke, 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 Jul 9, 2007; 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.