Individual provider Active NPI

Anna Camille Smith, M.S., CF-SLP

  • Speech-Language Pathologist
  • Rogers, AR
National Provider Identifier
1295610996
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
203278 Issued in AR
Practice address
3625 W Chestnut St
Rogers, AR 72756-0351
Phone
(479) 246-0101
NPI assigned
Aug 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Speech-Language Pathologist 235Z00000X 203278 AR Primary

Addresses

Primary practice location

3625 W Chestnut St
Rogers, AR 72756-0351

Mailing address

8 S Sechrest Cir
Rogers, AR 72758-1405
Phone (479) 321-8650

Other practice location 1

429 W Centerton Blvd
Centerton, AR 72719-8701
Phone (479) 224-2362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
203278ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Home Staging of Nwa LLC PastSince Sep 1, 2021 Accepting new patients
Gates Therapy Group, Inc. Past Accepting new patients

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": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1295610996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 S SECHREST CIR",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581405",
            "telephone_number": "479-321-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 W CHESTNUT ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727560351",
            "telephone_number": "479-246-0101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "429 W Centerton Blvd",
            "address_purpose": "LOCATION",
            "city": "Centerton",
            "state": "AR",
            "postal_code": "727198701",
            "country_code": "US",
            "telephone_number": "479-224-2362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANNA",
        "middle_name": "CAMILLE",
        "credential": "M.S., CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "203278",
            "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 Sep 16, 2025; 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.