Individual provider Active NPI

Elizabeth Adele Ledbetter, MSSLP

  • Speech-Language Pathologist
  • Rogers, AR
National Provider Identifier
1497907653
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP#P8156 Issued in AR
Practice address
2510 W Hudson Rd
Rogers, AR 72756-2072
Phone
(479) 936-1061
Fax
(855) 812-1132
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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 SP#P8156 AR Primary

Addresses

Primary practice location

2510 W Hudson Rd
Rogers, AR 72756-2072

Mailing address

2510 W Hudson Rd
Rogers, AR 72756-2072
Phone (479) 936-1061

Other identifiers 1

IdentifierTypeStateIssuer
SP#P8156OtherARARKANSAS BOARD OF EXAMINERS SPEEC-LANGUAGE PATHOLOGY AND AUDIO

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
SP#P8156ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Therapy Services, Inc. CurrentSince Dec 12, 2021 Accepting new patients
Regional Therapy Services, Inc. Speech-Language Pathologist CurrentSince Dec 12, 2021 Accepting new patients

Locations

2510 W Hudson Rd
Rogers, AR 72756
Phone (479) 936-1061

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": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1497907653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 W HUDSON RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727562072",
            "telephone_number": "479-936-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 W HUDSON RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727562072",
            "telephone_number": "479-936-1061",
            "fax_number": "855-812-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDBETTER",
        "first_name": "ELIZABETH",
        "middle_name": "ADELE",
        "credential": "MSSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#P8156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BOARD OF EXAMINERS SPEEC-LANGUAGE PATHOLOGY AND AUDIO",
            "identifier": "SP#P8156",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.