Becky Mitchum

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP#3748 Issued in AR

Practice address

304 Sorenson St
North Little Rock, AR 72118-3473

Phone

(501) 246-5191

NPI assigned

Jun 5, 2015

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433462400000",
    "number": "1275913196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MASTERS PLACE DR",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721137019",
            "telephone_number": "501-590-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 SORENSON ST",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721183473",
            "telephone_number": "501-246-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHUM",
        "first_name": "BECKY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#3748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206659721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mission Psychotherapy Services
• Kaila Mitchell, PSYD
• Kelly D. Mitchell, SRNA
• Sandra Lee Mitchell
• Morrell Mitchem
• Dinesh Mittal, M.D.
• Kaitlynn Mize, RBT
• Mobility Plus Inc
• John C Moix
• Summer Lynn Mojica, PA

• Speech-Language Pathologist in North Little Rock, AR
• Providers in North Little Rock, 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 Jun 5, 2015; 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.