Skyler Phelps, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

17706 I 30
Benton, AR 72019-2907

Phone

(501) 315-4414

NPI assigned

Aug 11, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• Kidsource Therapy Group, LLC

  • Rehabilitation Clinic/Center
  • Hot Springs, AR
  • NPI 1609235126
  NPD (past)
• Reach Behavioral Health

  • Clinical Social Worker
  • Benton, AR
  • NPI 1093379935
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1366117475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 WISTERIA DR",
            "city": "BAUXITE",
            "state": "AR",
            "postal_code": "720118932",
            "telephone_number": "870-308-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17706 I 30",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720192907",
            "telephone_number": "501-315-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "SKYLER",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Keith Pettus, LPN
• Melissa Pettus
• Ann Pevahouse, DDS
• Pharmacy Care of Benton, LLC (Finley Pharmacy)
• Richard E Phelan, D.D.S.
• Tanya Phelps, RECOVERY ASSISTANT
• Gwan Phifer, RECOVERY ASSISTANT
• Phillip Suffridge,M.D.,P.a.
• Kalen Phillips
• Stacie Lynn Phillips, OTRL

• Speech-Language Pathologist in Benton, AR
• Providers in Benton, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.