Joyce Renae Bobo, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

201413 Issued in AR

Practice address

235 N 11TH St
Arkadelphia, AR 71923-4903

Phone

(870) 246-1100

Fax

(870) 246-1144

NPI assigned

Jun 22, 2021

Last updated

Jul 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1316516669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 RIVER RD",
            "city": "NORMAN",
            "state": "AR",
            "postal_code": "719608363",
            "telephone_number": "870-490-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 N 11TH ST",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719234903",
            "telephone_number": "870-246-1100",
            "fax_number": "870-246-1144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "702 Hickory St",
            "address_purpose": "LOCATION",
            "city": "Arkadelphia",
            "state": "AR",
            "postal_code": "719235040",
            "country_code": "US",
            "telephone_number": "870-464-1337",
            "fax_number": "870-464-1338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOBO",
        "first_name": "JOYCE",
        "middle_name": "RENAE",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AR",
            "license": "201413",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "201413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.