Individual provider Active NPI

Elisabeth Beatrice Murders, M.S., CCY-SLP

  • Speech-Language Pathologist
  • Bentonville, AR
National Provider Identifier
1285865931
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP#2862 Issued in AR
Practice address
1004 SE 5TH St
Bentonville, AR 72712-6032
Phone
(479) 254-6717
NPI assigned
Jul 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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 SP#2862 AR Primary

Addresses

Primary practice location

1004 SE 5TH St
Bentonville, AR 72712-6032

Mailing address

1004 SE 5TH St
Bentonville, AR 72712-6032
Phone (479) 254-6717

Other identifiers 1

IdentifierTypeStateIssuer
12138902OtherASHA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120120000730 AR Practitioner - Qualified Speech Language Pathologist 2769659481 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP#2862ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathfinder, Inc. CurrentSince Dec 16, 2011 Accepting new patients
Pathfinder, Inc. Past Accepting new patients

Locations

1004 SE 5th St
Bentonville, AR 72712
Phone (479) 254-6717

905 N Redmond Rd
Jacksonville, AR 72076
Phone (501) 533-6302

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": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1285865931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 SE 5TH ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727126032",
            "telephone_number": "479-254-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 SE 5TH ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727126032",
            "telephone_number": "479-254-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURDERS",
        "first_name": "ELISABETH",
        "middle_name": "BEATRICE",
        "name_prefix": "Ms.",
        "credential": "M.S., CCY-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-29",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#2862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "12138902",
            "state": null
        }
    ],
    "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 Mar 21, 2017; 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.