Individual provider Active NPI

Brittany Wells

  • Speech-Language Pathologist
  • Ash Flat, AR
National Provider Identifier
1497344857
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
201320 Issued in AR
Practice address
120 Nix Ridge Rd
Ash Flat, AR 72513-9017
Phone
(870) 994-3103
Fax
(870) 994-3108
NPI assigned
Jan 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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 201320 AR Primary

Addresses

Primary practice location

120 Nix Ridge Rd
Ash Flat, AR 72513-9017

Mailing address

120 Nix Ridge Rd
Ash Flat, AR 72513-9017
Phone (870) 994-3103

Other practice location 1

3005 Apache Dr
Jonesboro, AR 72401-7432
Phone (870) 336-0238

Other practice location 2

42 Helter Rd
Pocahontas, AR 72455-1359
Phone (870) 248-1448

Other practice location 3

1600 SW Broad St
Hoxie, AR 72433-2419
Phone (870) 679-1506

Other identifiers 1

IdentifierTypeStateIssuer
259904721MedicaidAR

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
201320ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Its Support Services LLC Speech-Language Pathologist CurrentSince Jan 19, 2025 Accepting new patients
Higginbotham Therapy Providers LLC Speech-Language Pathologist CurrentSince Jun 1, 2022 Accepting new patients

Locations

1600 SW Broad St
Hoxie, AR 72433
Phone (870) 679-1506

42 Helter Rd
Pocahontas, AR 72455
Phone (870) 248-1448

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1497344857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 NIX RIDGE RD",
            "city": "ASH FLAT",
            "state": "AR",
            "postal_code": "725139017",
            "telephone_number": "870-994-3103",
            "fax_number": "870-994-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 NIX RIDGE RD",
            "city": "ASH FLAT",
            "state": "AR",
            "postal_code": "725139017",
            "telephone_number": "870-994-3103",
            "fax_number": "870-994-3108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3005 Apache Dr",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724017432",
            "country_code": "US",
            "telephone_number": "870-336-0238",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "42 Helter Rd",
            "address_purpose": "LOCATION",
            "city": "Pocahontas",
            "state": "AR",
            "postal_code": "724551359",
            "country_code": "US",
            "telephone_number": "870-248-1448",
            "fax_number": "870-248-1450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 SW Broad St",
            "address_purpose": "LOCATION",
            "city": "Hoxie",
            "state": "AR",
            "postal_code": "724332419",
            "country_code": "US",
            "telephone_number": "870-679-1506",
            "fax_number": "870-679-1507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "BRITTANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-11",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "201320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259904721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ash Flat, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.