Individual provider Active NPI

Amanda Jayne Flemister, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Rogers, AR
National Provider Identifier
1265878649
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
1000 W Poplar St
Rogers, AR 72756-4242
Phone
(479) 631-7678
Fax
(479) 631-8886
NPI assigned
May 13, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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 Primary

Addresses

Primary practice location

1000 W Poplar St
Rogers, AR 72756-4242

Mailing address

1000 W Poplar St
Rogers, AR 72756-4242
Phone (479) 631-7678

Other practice location 1

1410 W Daisy Bates Dr
Little Rock, AR 72202-5434
Phone (501) 375-7811

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240629000031 AR Practitioner - Qualified Speech Language Pathologist 7911441084 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fusion Therapy Center, LLC Speech-Language Pathologist CurrentSince Jun 21, 2024 Accepting new patients
Post 0218, PLC PastSince Jul 28, 2024 Accepting new patients

Locations

3108 SW Regency Pkwy
Ste 5
Bentonville, AR 72712
Phone (479) 252-3321

3201 SW Regency Pkwy
Ste 5
Bentonville, AR 72712
Phone (479) 252-3321

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": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1265878649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W POPLAR ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727564242",
            "telephone_number": "479-631-7678",
            "fax_number": "479-631-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W POPLAR ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727564242",
            "telephone_number": "479-631-7678",
            "fax_number": "479-631-8886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1410 W Daisy Bates Dr",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722025434",
            "country_code": "US",
            "telephone_number": "501-375-7811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEMISTER",
        "first_name": "AMANDA",
        "middle_name": "JAYNE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-13",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.