Individual provider Active NPI

Susan L Hill, MS, CCC-SLP

  • Speech-Language Pathologist
  • Lonoke, AR
National Provider Identifier
1366619462
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2220 Issued in AR
Practice address
401 W Holly St
Lonoke, AR 72086-3417
Phone
(501) 676-7066
Fax
(501) 676-7092
NPI assigned
May 8, 2008
Last updated
Feb 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 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 2220 AR Primary

Addresses

Primary practice location

401 W Holly St
Lonoke, AR 72086-3417

Mailing address

1500 N Mississippi St
Little Rock, AR 72207-5851
Phone (501) 217-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230905000545 AR Practitioner - Qualified Speech Language Pathologist 4284097544 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2220ARMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
MCT, Inc. CurrentSince Jul 19, 2023 Accepting new patients
MCT, Inc. Speech-Language Pathologist CurrentSince Jul 19, 2023 Accepting new patients
Lonoke School District Past Accepting new patients

Locations

10618 Breckenridge Dr
Little Rock, AR 72211
Phone (501) 217-8600

1500 N Mississippi St
Little Rock, AR 72207
Phone (501) 217-8600

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1366619462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N MISSISSIPPI ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722075851",
            "telephone_number": "501-217-8600",
            "fax_number": "501-217-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W HOLLY ST",
            "city": "LONOKE",
            "state": "AR",
            "postal_code": "720863417",
            "telephone_number": "501-676-7066",
            "fax_number": "501-676-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "SUSAN",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-08",
        "last_updated": "2024-02-19",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "2220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lonoke, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.