Active NPI
Jessica Alanis
- Speech-Language Pathologist
- Vilonia, AR
National Provider Identifier
1417199654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2740
- Practice address
- 4 Aurora LN
Vilonia, AR 72173-9029 - Phone
- (870) 918-1982
- NPI assigned
- Apr 2, 2009
- Last updated
- Sep 10, 2024
- 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 | 2740 | AR | Primary |
Addresses
Primary practice location
4 Aurora LN
Vilonia, AR 72173-9029
Mailing address
4 Aurora LN
Vilonia, AR 72173-9029
Phone (870) 918-1982
Other practice location 1
685 Shelby Trl Ste 101
Conway, AR 72034-7169
Phone (501) 358-6868
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 184225721 | Medicaid | AR |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jda Therapy and Wellness Services | Speech-Language Pathologist | Current | Accepting new patients |
| Monticello School District | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Vilonia, AR
- NPI 1649052507
-
- Local Education Agency (LEA)
- Monticello, AR
- NPI 1265595698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725926400000",
"number": "1417199654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 AURORA LN",
"city": "VILONIA",
"state": "AR",
"postal_code": "721739029",
"telephone_number": "870-918-1982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 AURORA LN",
"city": "VILONIA",
"state": "AR",
"postal_code": "721739029",
"telephone_number": "870-918-1982"
}
],
"practiceLocations": [
{
"address_1": "685 Shelby Trl Ste 101",
"address_purpose": "LOCATION",
"city": "Conway",
"state": "AR",
"postal_code": "720347169",
"country_code": "US",
"telephone_number": "501-358-6868",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALANIS",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-02",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "2740",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "184225721",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vilonia, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.