Justina Warmoth

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

202940 Issued in AR

Practice address

3917 Keener LN
Harrison, AR 72601-7522

Phone

(870) 302-9277

NPI assigned

Dec 19, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Branded Equine Based Therapy Services

  • Clinic/Center
  • Harrison, AR
  • NPI 1770227555
  NPD

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1467260711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4583 POWDER KEG LN",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726017098",
            "telephone_number": "870-577-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 KEENER LN",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726017522",
            "telephone_number": "870-302-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARMOTH",
        "first_name": "JUSTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AR",
            "license": "202940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Renea Wallis
• Walmart Inc.
• Walmart Inc.
• Renee S Walsh, LCSW
• Chris Walter, MHPP
• Washington Regional Medical System
• Washington Regional Medical System
• Washington Regional Medical System
• Washington Regional Medical System
• Washington Regional Medical System

• Speech-Language Assistant in Harrison, AR
• Providers in Harrison, AR by specialty
• Speech-Language Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.

Verify at the official NPI Registry.