Active NPI
Rachel Hickman
- Speech-Language Pathologist
- Blytheville, AR
National Provider Identifier
1376834598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP#P8420
- Practice address
- 4407 Amarillo St
Blytheville, AR 72315-5702 - Phone
- (870) 532-2229
- NPI assigned
- Apr 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP#P8420 | AR | Primary |
Addresses
Primary practice location
4407 Amarillo St
Blytheville, AR 72315-5702
Mailing address
PO Box 125
Black Oak, AR 72414-0125
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
| License | State | Type | Specialty |
|---|---|---|---|
| SP#P8420 | AR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elevate Rehabilitation LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Tomorrows Child Learning Center, LLC | Past | Accepting new patients | |
| Tomorrows Child Learning Center, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapist
- Monette, AR
- NPI 1235823220
Speech-Language Pathologist
-
- Exclusive Provider Organization
- Blytheville, AR
- NPI 1275744773
-
- Exclusive Provider Organization
- Blytheville, AR
- NPI 1922112390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303344000000",
"number": "1376834598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 125",
"city": "BLACK OAK",
"state": "AR",
"postal_code": "724140125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4407 AMARILLO ST",
"city": "BLYTHEVILLE",
"state": "AR",
"postal_code": "723155702",
"telephone_number": "870-532-2229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKMAN",
"first_name": "RACHEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-21",
"last_updated": "2011-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "SP#P8420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blytheville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.