Individual provider Active NPI

Deesta Jan D'Appollonio, M.S

  • Speech-Language Pathologist
  • Fayetteville, AR
National Provider Identifier
1487009130
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
2474 E Joyce Blvd Ste 2
Fayetteville, AR 72703-4932
Phone
(479) 521-8326
NPI assigned
May 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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 AR Primary

Addresses

Primary practice location

2474 E Joyce Blvd Ste 2
Fayetteville, AR 72703-4932

Mailing address

3930 W Violet St
Fayetteville, AR 72704-3024
Phone (479) 209-9199

Other practice location 1

1036 Highway 64 E
Alma, AR 72921-6807
Phone (479) 632-3813

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

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1487009130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 W VIOLET ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727043024",
            "telephone_number": "479-209-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2474 E JOYCE BLVD STE 2",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034932",
            "telephone_number": "479-521-8326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1036 Highway 64 E",
            "address_purpose": "LOCATION",
            "city": "Alma",
            "state": "AR",
            "postal_code": "729216807",
            "country_code": "US",
            "telephone_number": "479-632-3813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "D'APPOLLONIO",
        "first_name": "DEESTA",
        "middle_name": "JAN",
        "credential": "M.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.