Active NPI
Madelyn Justine Scamardo, MS
- Speech-Language Pathologist
- Fort Smith, AR
National Provider Identifier
1326739483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 202186
- Practice address
- 9220 Highway 71 S Ste 10
Fort Smith, AR 72916-9151 - Phone
- (479) 652-6458
- NPI assigned
- May 18, 2023
- Last updated
- Sep 24, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 202186 | AR | Primary |
Addresses
Primary practice location
9220 Highway 71 S Ste 10
Fort Smith, AR 72916-9151
Mailing address
19668 US Highway 271
Spiro, OK 74959-4454
Phone (479) 652-6458
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202186 | AR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1326739483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19668 US HIGHWAY 271",
"city": "SPIRO",
"state": "OK",
"postal_code": "749594454",
"telephone_number": "479-652-6458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9220 HIGHWAY 71 S STE 10",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729169151",
"telephone_number": "479-652-6458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCAMARDO",
"first_name": "MADELYN",
"middle_name": "JUSTINE",
"name_prefix": "Mrs.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-18",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "202186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.