Active NPI
Nicol R Neal, SLP
- Speech-Language Pathologist
- Fayetteville, AR
National Provider Identifier
1386865541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1249
- Practice address
- 1915 N Green Acres Rd
Fayetteville, AR 72703-2617 - Phone
- (479) 521-6060
- Fax
- (479) 521-4161
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 1249 | AR | Primary |
Addresses
Primary practice location
1915 N Green Acres Rd
Fayetteville, AR 72703-2617
Mailing address
1780 Oxford PL
Springdale, AR 72764-6987
Phone (479) 521-6060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BLUE CROSS | Other | AR | 5X016 |
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 |
|---|---|---|---|
| 1249 | AR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard D. Roblee DDS | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386865541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1780 OXFORD PL",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727646987",
"telephone_number": "479-521-6060",
"fax_number": "479-521-4161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 N GREEN ACRES RD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727032617",
"telephone_number": "479-521-6060",
"fax_number": "479-521-4161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAL",
"first_name": "NICOL",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "1249",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "5X016",
"identifier": "BLUE CROSS",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.