Active NPI
Sara Hawkins, SLP
- Speech-Language Pathologist
- Russellville, AR
National Provider Identifier
1255458022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP#P7965
- Practice address
- 220 W 10TH St
Russellville, AR 72801-6034 - Phone
- (479) 968-4540
- NPI assigned
- Mar 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
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#P7965 | AR | Primary |
Addresses
Primary practice location
220 W 10TH St
Russellville, AR 72801-6034
Mailing address
133 Greystone LN
Russellville, AR 72802-2385
Phone (501) 230-1717
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5A062 | Other | AR | SPEECH THERAPY |
| 160706721 | Medicaid | AR |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP#P7965 | AR | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695945600000",
"number": "1255458022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 GREYSTONE LN",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728022385",
"telephone_number": "501-230-1717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 W 10TH ST",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728016034",
"telephone_number": "479-968-4540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "SARA",
"name_prefix": "Ms.",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-24",
"last_updated": "2023-09-29",
"certification_date": "2023-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "SP#P7965",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH THERAPY",
"identifier": "5A062",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "160706721",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Russellville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.