Mae Lynn Smithwick, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP#1403 Issued in AR

Practice address

11517 Kanis Rd
Little Rock, AR 72211-3724

Phone

(501) 993-7171

NPI assigned

Oct 7, 2008

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)

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 and National Provider Directory roles.

• Pediatric Therapy Services of Little Rock

  • Contractor
  • Little Rock, AR
  • NPI 1093848095
  NPD (past)
• The Therapy Company

  • Contractor
  • Little Rock, AR
  • NPI 1760696462
  NPD (past)

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1285885426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PLATEAU ST",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721169315",
            "telephone_number": "501-831-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11517 KANIS RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113724",
            "telephone_number": "501-993-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITHWICK",
        "first_name": "MAE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#1403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135854721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Smith, PHARMD
• Melody Smithey
• Jessica Smithpeters, MHPP
• Smiths Country Club Drug Store Inc
• Smiths Country Club Drug Store Inc
• Susan J Smithwick, APN
• Emily Smock, PHARMD
• Casey Michael Smolarz, M.D.
• Hannah M Smothers, RBT
• Smryna 380 Physical Therapy, LLC

• Speech-Language Pathologist in Little Rock, AR
• Providers in 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 Oct 7, 2008; 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.