Individual provider Active NPI

Jan Lynette Traughber, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Searcy, AR
National Provider Identifier
1457554081
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP#2343 Issued in AR
Practice address
8 Meadowview Dr
Searcy, AR 72143-7249
Phone
(501) 305-4415
Fax
(501) 268-7995
NPI assigned
Jun 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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#2343 AR Primary

Addresses

Primary practice location

8 Meadowview Dr
Searcy, AR 72143-7249

Mailing address

8 Meadowview Dr
Searcy, AR 72143-7249
Phone (501) 305-4415

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#2343ARMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1181433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1457554081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MEADOWVIEW DR",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721437249",
            "telephone_number": "501-305-4415",
            "fax_number": "501-268-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MEADOWVIEW DR",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721437249",
            "telephone_number": "501-305-4415",
            "fax_number": "501-268-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAUGHBER",
        "first_name": "JAN",
        "middle_name": "LYNETTE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#2343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.