Individual provider Active NPI

Kara Gail Cullins, M.S., CFY-SLP

  • Speech-Language Pathologist
  • Fayetteville, AR
National Provider Identifier
1407161102
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP#8327 Issued in AR
Practice address
1000 W Stone St
Fayetteville, AR 72701-5653
Phone
(479) 444-3000
NPI assigned
Aug 18, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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 SP#8327 AR Primary

Addresses

Primary practice location

1000 W Stone St
Fayetteville, AR 72701-5653

Mailing address

3223 W Drakestone St
Fayetteville, AR 72704-6367
Phone (479) 442-2542

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP#8327ARMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1407161102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 W DRAKESTONE ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727046367",
            "telephone_number": "479-442-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W STONE ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015653",
            "telephone_number": "479-444-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLINS",
        "first_name": "KARA",
        "middle_name": "GAIL",
        "name_prefix": "Ms.",
        "credential": "M.S., CFY-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#8327",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 18, 2010; 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.