Individual provider Active NPI

Alyssa Ann Pitts, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Siloam Springs, AR
National Provider Identifier
1306242532
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4046 Issued in AR
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

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200578350AMedicaidOK
206687721MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
4046ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alyp Therapy CurrentSince Jul 10, 2022 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.

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.

Verify at the official NPI Registry.