Individual provider Active NPI

Cathryn Joy Villines

  • Speech-Language Pathologist
  • Rogers, AR
National Provider Identifier
1326524174
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
200090 Issued in AR
Practice address
2403 Marylane Dr
Rogers, AR 72756-6702
Phone
(479) 250-4355
Fax
(479) 553-7954
NPI assigned
Jul 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X AR
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 200090 AR Primary

Addresses

Primary practice location

2403 Marylane Dr
Rogers, AR 72756-6702

Mailing address

2403 Marylane Dr
Rogers, AR 72756-6702
Phone (479) 790-7979

Other identifiers 1

IdentifierTypeStateIssuer
1326524174MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cathryn.villines.st@regionaltherapy.net Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
200090ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Therapy Services, Inc. Multi-Specialty PastSince Sep 1, 2019 Accepting new patients

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": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1326524174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 MARYLANE DR",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727566702",
            "telephone_number": "479-790-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 MARYLANE DR",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727566702",
            "telephone_number": "479-250-4355",
            "fax_number": "479-553-7954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLINES",
        "first_name": "CATHRYN",
        "middle_name": "JOY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "200090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326524174",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cathryn.villines.st@regionaltherapy.net",
            "affiliation": "N",
            "endpointDescription": "Work e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2403 Marylane Dr",
            "city": "Rogers",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727566702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.