Individual provider Active NPI

Keri Anne Bordelon, CCC-SLP

  • Speech-Language Pathologist
  • Hot Springs, AR
National Provider Identifier
1407077688
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP2570 Issued in AR
Practice address
126 Pogue LN
Hot Springs, AR 71913-7727
Phone
(501) 760-8628
Fax
(501) 307-1233
NPI assigned
May 2, 2007
Last updated
Mar 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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 SP2570 AR Primary

Addresses

Primary practice location

126 Pogue LN
Hot Springs, AR 71913-7727

Mailing address

126 Pogue LN
Hot Springs, AR 71913-7727
Phone (501) 760-8628

Other identifiers 1

IdentifierTypeStateIssuer
178814721MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210407000113 AR Practitioner - Qualified Speech Language Pathologist 3577970771 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP2570ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech on the Spot Speech-Language Pathologist CurrentSince Oct 20, 2024 Accepting new patients
New Hope Therapy LLC CurrentSince Mar 1, 2021 Accepting new patients
First Step, Inc. Past Accepting new patients

Locations

4328 Central Ave
Ste M
Hot Springs National Park, AR 71913
Phone (501) 358-6535

456 Brodrick St
Hot Springs National Park, AR 71901
Phone (501) 701-4207

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1407077688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 POGUE LN",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719137727",
            "telephone_number": "501-760-8628",
            "fax_number": "501-307-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 POGUE LN",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719137727",
            "telephone_number": "501-760-8628",
            "fax_number": "501-307-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDELON",
        "first_name": "KERI",
        "middle_name": "ANNE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP2570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178814721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.