Active NPI
Alyssa Ann Pitts, M.S. CCC-SLP
- Speech-Language Pathologist
- Siloam Springs, AR
National Provider Identifier
1306242532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4046
- Practice address
- 2317 N Mount Olive St
Siloam Springs, AR 72761-7070 - Phone
- (479) 755-4047
- NPI assigned
- Nov 17, 2014
- 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 | 4046 | AR | Primary |
Addresses
Primary practice location
2317 N Mount Olive St
Siloam Springs, AR 72761-7070
Mailing address
13211 E Sugar Hill Rd
Lincoln, AR 72744-8020
Phone (479) 790-0249
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200578350A | Medicaid | OK | |
| 206687721 | Medicaid | AR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@siloamtherapy.com |
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4046 | AR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alyp Therapy | Current | Accepting new patients |
Locations
800 S Mount Olive St
Ste C
Siloam Springs, AR 72761
2317 N Mount Olive St
Siloam Springs, AR 72761
Phone (479) 755-4047
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.
-
- Hearing and Speech Clinic/Center
- Siloam Springs, AR
- NPI 1336678853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657152000000",
"number": "1306242532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13211 E SUGAR HILL RD",
"city": "LINCOLN",
"state": "AR",
"postal_code": "727448020",
"telephone_number": "479-790-0249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2317 N MOUNT OLIVE ST",
"city": "SILOAM SPRINGS",
"state": "AR",
"postal_code": "727617070",
"telephone_number": "479-755-4047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTS",
"first_name": "ALYSSA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-17",
"last_updated": "2022-07-07",
"certification_date": "2022-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "4046",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200578350A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "206687721",
"state": "AR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@siloamtherapy.com",
"affiliation": "N",
"address_1": "2317 N Mount Olive St",
"city": "Siloam Springs",
"state": "AR",
"country_code": "US",
"postal_code": "727617070",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Siloam Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.