Active NPI
Bonnie M. Vest, MA CCC-SLP
- Speech-Language Pathologist
- Magnolia, AR
National Provider Identifier
1467586164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP#1725
- Practice address
- 2206 N Jackson
Magnolia, AR 71753-2065 - Phone
- (870) 510-2841
- Fax
- (844) 315-7385
- NPI assigned
- Mar 15, 2007
- 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 | SP#1725 | AR | Primary |
Addresses
Primary practice location
2206 N Jackson
Magnolia, AR 71753-2065
Mailing address
2206 N Jackson
Magnolia, AR 71753-2065
Phone (870) 510-2841
Other practice location 1
11630 Highway 98
Stephens, AR 71764-8020
Phone (870) 596-2967
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12024497 | Other | ASHA | |
| 139686721 | Medicaid | AR | |
| 5X283 | Other | AR | BCBS |
| 105435 | Other | TX | STATE LICENSE |
| 1725 | Other | AR | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1725 | AR | MD | Chiropractor |
| SP#1725 | AR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appleflats Speech Pathology Clinic | Speech-Language Pathologist | Current | Accepting new patients |
| Appleflats Speech Pathology Clinic | Speech-Language Pathologist | Current | Accepting new patients |
| Vest Speech Pathology Services | Speech-Language Pathologist | Current | Accepting new patients |
Locations
2206 N Jackson
Magnolia, AR 71753
Phone (870) 510-2841
Organizations & group practices 3
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.
-
- Speech-Language Pathologist
- Stephens, AR
- NPI 1538677307
-
- Speech-Language Pathologist
- Magnolia, AR
- NPI 1629736319
-
- Speech-Language Pathologist
- Stephens, AR
- NPI 1295858124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653004800000",
"number": "1467586164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2206 N JACKSON",
"city": "MAGNOLIA",
"state": "AR",
"postal_code": "717532065",
"telephone_number": "870-510-2841",
"fax_number": "844-315-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2206 N JACKSON",
"city": "MAGNOLIA",
"state": "AR",
"postal_code": "717532065",
"telephone_number": "870-510-2841",
"fax_number": "844-315-7385"
}
],
"practiceLocations": [
{
"address_1": "11630 Highway 98",
"address_purpose": "LOCATION",
"city": "Stephens",
"state": "AR",
"postal_code": "717648020",
"country_code": "US",
"telephone_number": "870-596-2967",
"fax_number": "870-596-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VEST",
"first_name": "BONNIE",
"middle_name": "M.",
"credential": "MA CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2022-05-20",
"certification_date": "2022-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "SP#1725",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA",
"identifier": "12024497",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139686721",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5X283",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "105435",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "1725",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Magnolia, AR
- University of Arkansas for Medical Sciences (Kids First Magnolia)
- University of Arkansas for Medical Sciences
- University of Arkansas for Medical Sciences (UAMS Family Medical Clinic-Magnolia)
- Urgent Care Associates LLC (Premier Urgent Care)
- Brooke Vaughan
- Rebekah Wagner
- Wal-Mart Stores, Inc. (Vision Center 30-0083)
- Walgreen Co (Walgreens #10897)
- Curtis Hugh Walker, PT
- Walmart Inc. (Walmart Pharmacy 10-0083)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.