Individual provider Active NPI

Madelyn Justine Scamardo, MS

  • Speech-Language Pathologist
  • Fort Smith, AR
National Provider Identifier
1326739483
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
202186 Issued in AR
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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 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

LicenseStateTypeSpecialty
202186ARMDSpeech-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.

Verify at the official NPI Registry.