Active NPI
Kimberly A Myers
- Speech-Language Pathologist
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP467
- Practice address
- 9500 Baptist Health Dr Ste 210-a
Little Rock, AR 72205-6319 - Phone
- (501) 202-4630
- Fax
- (501) 202-4635
- NPI assigned
- Apr 3, 2025
- 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 | SP467 | AR | Primary |
Addresses
Primary practice location
9500 Baptist Health Dr Ste 210-a
Little Rock, AR 72205-6319
Mailing address
11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Phone (501) 202-4630
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250428000069 | AR | Practitioner - Qualified Speech Language Pathologist | 9931625597 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arkansas Health Group
Practice addresses (Care Compare)
9800 Baptist Health Dr
Suite 400
Little Rock, AR 72205-6238
Phone (501) 202-4630
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP467 | AR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Health Group | Speech-Language Pathologist | Current | Accepting new patients |
| Arkansas Health Group | Current | Accepting new patients |
Locations
9800 Baptist Health Dr
Ste 400
Little Rock, AR 72205
Phone (501) 202-4630
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
9500 Kanis Rd
Ste 410
Little Rock, AR 72205
Phone (501) 202-1500
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.
-
- Otolaryngology Physician
- Little Rock, AR
- NPI 1407609258
AR, Speech-Language Pathologist
-
- Surgery Physician
- Stuttgart, AR
- NPI 1952840555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743638400000",
"number": "1295539674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11001 EXECUTIVE CENTER DR STE 200",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722114393",
"telephone_number": "501-202-4630",
"fax_number": "501-202-4635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 BAPTIST HEALTH DR STE 210-A",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722056319",
"telephone_number": "501-202-4630",
"fax_number": "501-202-4635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "KIMBERLY",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-03",
"last_updated": "2025-04-03",
"certification_date": "2025-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "SP467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.