Individual provider Active NPI

Connie J. Jones, MS, CCC/SLP

  • Speech-Language Pathologist
  • Hot Springs, AR
National Provider Identifier
1497904981
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
649 Issued in AR
Practice address
146 Mimosa PT
Hot Springs, AR 71913-7651
Phone
(501) 844-7022
Fax
(501) 262-5960
NPI assigned
Sep 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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 649 AR Primary

Addresses

Primary practice location

146 Mimosa PT
Hot Springs, AR 71913-7651

Mailing address

146 Mimosa PT
Hot Springs, AR 71913-7651
Phone (501) 844-7022

Other identifiers 3

IdentifierTypeStateIssuer
01101344OtherAMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION
649OtherARARKANSAS BOARD OF EXAMINERS FOR SPEECH PATHOLOGY AND AUDIOLOGY
125647721MedicaidAR

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

State licenses

LicenseStateTypeSpecialty
649ARMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1497904981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 MIMOSA PT",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719137651",
            "telephone_number": "501-844-7022",
            "fax_number": "501-262-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 MIMOSA PT",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719137651",
            "telephone_number": "501-844-7022",
            "fax_number": "501-262-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "CONNIE",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION",
            "identifier": "01101344",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BOARD OF EXAMINERS FOR SPEECH PATHOLOGY AND AUDIOLOGY",
            "identifier": "649",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125647721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.