Raegan Agee, M.S., CCC-SLP

Key facts

NPI

1336713460

Entity type

Individual (NPI type 1)

Primary specialty

Speech-Language Pathologist 235Z00000X

License

SP2037 (AR)

Practice address

121 Cortez Rd
Hot Springs Village, AR 71909-6101

Phone

(501) 915-2126

NPI assigned

May 13, 2021

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Master of Science

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 13, 2021.

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1336713460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 DESOTO BLVD",
            "city": "HOT SPRINGS VILLAGE",
            "state": "AR",
            "postal_code": "719096100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CORTEZ RD",
            "city": "HOT SPRINGS VILLAGE",
            "state": "AR",
            "postal_code": "719096101",
            "telephone_number": "501-915-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGEE",
        "first_name": "RAEGAN",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP2037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs Village, AR

• Kennedy Adams
• Patricia C Adcock, PHD
• Adult and Teen Challenge of Arkansas Inc
• Advanced Care Sleep Labs, Inc.
• Affordable Hearing Solutions LLC
• Lynne Albert
• Sarah Kay Albertson, DPT
• American Oncology Partners, P.a.
• American Oncology Partners, P.a.
• American Oncology Partners, P.a.

All providers in Hot Springs Village, AR · Speech-Language Pathologist in Arkansas