Kennedy Chanelle Yancy

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

Practice address

1000 Carnahan Dr
Maumelle, AR 72113-6872

Phone

(501) 851-8990

NPI assigned

Sep 17, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1376370981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 E DIXON RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722064115",
            "telephone_number": "501-234-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CARNAHAN DR",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721136872",
            "telephone_number": "501-851-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANCY",
        "first_name": "KENNEDY",
        "middle_name": "CHANELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Williams, RDN/CSP/LD
• Elizabeth Ann Williamson, MS, RD, LD
• Leighton Wilson, OTD, OTR/L
• Terence Benjamin Wilson, M.D.
• Sharon Ashley Woodson, M.S.E., CCC-SLP
• James Yates, APRN
• Jennifer York

• Speech-Language Assistant in Maumelle, AR
• Providers in Maumelle, AR by specialty
• Speech-Language Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.