NPIMap

Organization Active NPI

Amber McCrackin LLC

  • Speech-Language Pathologist
  • Malvern, AR
National Provider Identifier
1366894628
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4045 Issued in AR
Legal business name
AMBER MCCRACKIN LLC
Practice address
1807 W Moline St
Malvern, AR 72104-2645
Phone
(501) 467-6002
NPI assigned
Jul 11, 2016
Last updated
Jul 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Authorized official

Name
Amber McCrackin, M.S, CCC-SLPNPI 1003283367
Title
Speech-Language Pathologist
Phone
(501) 467-6002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4045 AR Primary

Addresses

Primary practice location

1807 W Moline St
Malvern, AR 72104-2645

Mailing address

PO Box 96
Prattsville, AR 72129-0096
Phone (501) 467-6002

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468195200000",
    "number": "1366894628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96",
            "city": "PRATTSVILLE",
            "state": "AR",
            "postal_code": "721290096",
            "telephone_number": "501-467-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 W MOLINE ST",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721042645",
            "telephone_number": "501-467-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBER MCCRACKIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A",
        "authorized_official_last_name": "MCCRACKIN",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "501-467-6002",
        "authorized_official_credential": "M.S, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "4045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.