Individual provider Active NPI

Tiffany Darity, CCC-SLP

  • Speech-Language Pathologist
  • Berryville, AR
National Provider Identifier
1487914990
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
201585 Issued in AR
Practice address
1004 S Main St
Berryville, AR 72616-4330
Phone
(870) 654-3869
Fax
(870) 505-2016
NPI assigned
May 18, 2012
Last updated
Jun 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 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 201585 AR Primary

Addresses

Primary practice location

1004 S Main St
Berryville, AR 72616-4330

Mailing address

1587 Bunch Springs Rd
Berryville, AR 72616-4640
Phone (479) 981-9780

Other practice location 1

916 Goblin Dr
Harrison, AR 72601-8885
Phone (870) 654-3869

Other identifiers 1

IdentifierTypeStateIssuer
272288721MedicaidAR

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

State licenses

LicenseStateTypeSpecialty
201585ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Services of Northwest Arkansas, LLC Speech-Language Pathologist CurrentSince Jun 29, 2025 Accepting new patients
Kids for the Future Rogers, Inc. Past Accepting new patients

Locations

1004 S Main St
Berryville, AR 72616
Phone (870) 423-1077

916 Goblin Dr
Harrison, AR 72601
Phone (870) 204-5330

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1487914990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1587 BUNCH SPRINGS RD",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "726164640",
            "telephone_number": "479-981-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 S MAIN ST",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "726164330",
            "telephone_number": "870-654-3869",
            "fax_number": "870-505-2016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "916 Goblin Dr",
            "address_purpose": "LOCATION",
            "city": "Harrison",
            "state": "AR",
            "postal_code": "726018885",
            "country_code": "US",
            "telephone_number": "870-654-3869",
            "fax_number": "870-505-2016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DARITY",
        "first_name": "TIFFANY",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-18",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "201585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272288721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berryville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.