Carrie Sue Shepherd, AT

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1300 Highway 9
Morrilton, AR 72110-9403

Phone

(501) 208-5911

Fax

(501) 208-5912

NPI assigned

Jul 14, 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

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.

• Arch Ford Education Cooperative

  • Local Education Agency (LEA)
  • Plumerville, AR
  • NPI 1932262003
  NPD (past)

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1306000815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BULLDOG DR",
            "city": "PLUMERVILLE",
            "state": "AR",
            "postal_code": "721278803",
            "telephone_number": "501-354-2269",
            "fax_number": "501-354-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HIGHWAY 9",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721109403",
            "telephone_number": "501-208-5911",
            "fax_number": "501-208-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "CARRIE",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "AT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-14",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206055721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melody Kaye Russell, PHARM.D.
• Laurel Sax Jr., CASE MANAGER
• Brent A Scroggins, M.D.
• James Seal
• Deborah Kate Shaw, COTA
• Stuart Sherwood, DDS
• Heather Elizabeth Simpson, MHPP
• Alexis Michelle Smith
• Danica Leanna Smith, MHPP
• Linda M. Smith, RNBC

• Speech-Language Pathologist in Morrilton, AR
• Providers in Morrilton, 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 Sep 19, 2019; 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.