NPIMap

Organization Active NPI

LBS Medical LLC

  • Speech-Language Pathologist
  • Springdale, AR
National Provider Identifier
1477237196
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
LBS MEDICAL LLC
Practice address
1022 Jones Rd
Springdale, AR 72762-0705
Phone
(479) 318-2300
NPI assigned
Jun 13, 2023
Last updated
Jun 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Authorized official

Name
Travis Kmita
Title
Cfo
Phone
(615) 294-0088

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

1022 Jones Rd
Springdale, AR 72762-0705

Mailing address

1022 Jones Rd
Springdale, AR 72762-0705
Phone (479) 318-2300

Other practice location 1

15201A Crown At Lone Oak Rd
Edmond, OK 73013-2272
Phone (479) 318-2300

Other practice location 2

1807 SW Regional Airport Blvd
Bentonville, AR 72713-7755
Phone (479) 318-2300

Other practice location 3

2929 S Caraway Rd Ste 15
Jonesboro, AR 72401-7335
Phone (479) 318-2300

Other practice location 4

1514 Market St
Little Rock, AR 72211-1816
Phone (479) 318-2300

Other practice location 5

416 W 15th St Ste 600
Edmond, OK 73013-3672
Phone (479) 318-2300

National Provider Directory

National Provider Directory

Locations

2929 S Caraway Rd
Ste 15
Jonesboro, AR 72401
Phone (870) 935-1414

1022 Jones Rd
Springdale, AR 72762
Phone (479) 318-2179

15201A Crown At Lone Oak Rd
Edmond, OK 73013
Phone (405) 724-8826

Practitioners & affiliated clinicians

Practitioners 77

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 77

NPI Registry JSON

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1477237196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 JONES RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620705",
            "telephone_number": "479-318-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 JONES RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620705",
            "telephone_number": "479-318-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15201A Crown At Lone Oak Rd",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730132272",
            "country_code": "US",
            "telephone_number": "479-318-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1807 SW Regional Airport Blvd",
            "address_purpose": "LOCATION",
            "city": "Bentonville",
            "state": "AR",
            "postal_code": "727137755",
            "country_code": "US",
            "telephone_number": "479-318-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2929 S Caraway Rd Ste 15",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724017335",
            "country_code": "US",
            "telephone_number": "479-318-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1514 Market St",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722111816",
            "country_code": "US",
            "telephone_number": "479-318-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "416 W 15th St Ste 600",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730133672",
            "country_code": "US",
            "telephone_number": "479-318-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LBS MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "KMITA",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-294-0088"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.