Carrie Ann Adele Willyard, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP#P8012 Issued in AR

Practice address

2 Akerman LN
Bella Vista, AR 72714-5228

Phone

(479) 270-3720

Fax

(479) 696-7779

NPI assigned

May 4, 2007

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1316159197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ABBAS CIR",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727144200",
            "telephone_number": "479-426-9182",
            "fax_number": "479-696-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 AKERMAN LN",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727145228",
            "telephone_number": "479-270-3720",
            "fax_number": "479-696-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLYARD",
        "first_name": "CARRIE",
        "middle_name": "ANN ADELE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#P8012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161716721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Weston
• William Lawrence Yoos, O.D.,P.a. (Dr. Yoos Eye Care & Optical)
• Blake Anthony Williams, M.D.
• Mallory Williams, PHARM.D
• Renee Denise Williams, APRN
• Tabitha Layne Wortham, PHARMD
• Larry Don Wright, MD
• James Braxton Yeager Jr.
• William Lawrence Yoos, O.D.
• Jason R Young, CNP

• Speech-Language Pathologist in Bella Vista, AR
• Providers in Bella Vista, 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 Mar 15, 2018; 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.