Active NPI
Lori Elizabeth Stewart, SLP
- Speech-Language Pathologist
- Sherwood, AR
National Provider Identifier
1417575002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 200513
- Practice address
- 1540 Country Club Rd
Sherwood, AR 72120-5095 - Phone
- (501) 753-5459
- NPI assigned
- Jul 9, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 114521 | TX | |
| Speech-Language Pathologist | 235Z00000X | 200513 | AR | Primary |
Addresses
Primary practice location
1540 Country Club Rd
Sherwood, AR 72120-5095
Mailing address
1540 Country Club Rd
Sherwood, AR 72120-5095
Phone (501) 753-5459
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.texarkanatherapycenter.com | Direct |
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 |
|---|---|---|---|
| 200513 | AR | MD | Speech-Language Pathologist |
| 114521 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Temple Memorial Pediatric Center Inc. | 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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Texarkana, TX
- NPI 1972654663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613347200000",
"number": "1417575002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 COUNTRY CLUB RD",
"city": "SHERWOOD",
"state": "AR",
"postal_code": "721205095",
"telephone_number": "501-753-5459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 COUNTRY CLUB RD",
"city": "SHERWOOD",
"state": "AR",
"postal_code": "721205095",
"telephone_number": "501-753-5459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "LORI",
"middle_name": "ELIZABETH",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-09",
"last_updated": "2021-02-15",
"certification_date": "2021-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "114521",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "200513",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.texarkanatherapycenter.com",
"affiliation": "N",
"endpointDescription": "web address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "URL",
"address_1": "4824 McKnight Rd",
"city": "Texarkana",
"state": "TX",
"country_code": "US",
"postal_code": "755030935",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sherwood, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.