Individual provider Active NPI

Kelli McCartney

  • Speech-Language Pathologist
  • Bryant, AR
National Provider Identifier
1356423644
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5529 Issued in LA
Practice address
200 NW 4TH St
Bryant, AR 72022-3424
Phone
(225) 405-3937
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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 5529 LA Primary

Addresses

Primary practice location

200 NW 4TH St
Bryant, AR 72022-3424

Mailing address

200 NW 4TH St
Bryant, AR 72022-3424
Phone (506) 653-5060

Other practice location 1

768 Chevelle Dr
Baton Rouge, LA 70806-6503
Phone (225) 930-0208

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
5529LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Access to Better Communication Speech-Language Pathologist Past Accepting new patients
Speech Language & Stuttering Therapy Inc Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1356423644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NW 4TH ST",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720223424",
            "telephone_number": "506-653-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NW 4TH ST",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720223424",
            "telephone_number": "225-405-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "768 Chevelle Dr",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708066503",
            "country_code": "US",
            "telephone_number": "225-930-0208",
            "fax_number": "225-930-0221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARTNEY",
        "first_name": "KELLI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "5529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryant, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.