Marty D. Hamric – Speech-Language Pathologist

Key facts

NPI: 1295870335
Entity type: Individual (NPI type 1)
Primary specialty: Speech-Language Pathologist 235Z00000X
License: 673 (AR)
Practice address: 1500 Wilson Loop
Ward, AR 72176
Phone: (501) 941-5630
NPI assigned: Feb 20, 2007
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

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.

Allied Therapy and Consulting Services, PA Specialist · North Little Rock, AR · NPI 1134185937

NPD (past)

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Allied Therapy and Consulting Services, PA		Past since Apr 24, 2019	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Speech-Language Pathologist	235Z00000X	673	AR	Yes

Addresses

Primary practice location

1500 Wilson Loop
Ward, AR 72176

Mailing address

18 W Plaza Blvd
Cabot, AR 72023-3753
Phone (501) 843-7601

Other identifiers

Identifier	Type	State	Issuer
5U781	Other	AR	BLUE CROSS BLUE SHIELD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295870335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 W PLAZA BLVD",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720233753",
            "telephone_number": "501-843-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WILSON LOOP",
            "city": "WARD",
            "state": "AR",
            "postal_code": "72176",
            "telephone_number": "501-941-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMRIC",
        "first_name": "MARTY",
        "middle_name": "D.",
        "name_prefix": "Mrs.",
        "credential": "MSE, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5U781",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ward, AR

All providers in Ward, AR · Speech-Language Pathologist in Arkansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.