Individual provider Active NPI

Mattie Elizabeth Watkins

  • Speech-Language Pathologist
  • Harrison, AR
National Provider Identifier
1538049002
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
203728 Issued in AR
Practice address
916 Goblin Dr
Harrison, AR 72601-8885
Phone
(870) 654-3869
Fax
(870) 505-2016
NPI assigned
Sep 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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 203728 AR Primary

Addresses

Primary practice location

916 Goblin Dr
Harrison, AR 72601-8885

Mailing address

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

Other practice location 1

201 Rice St
Berryville, AR 72616-4388
Phone (870) 654-3869

Other practice location 2

1004 S Main St
Berryville, AR 72616-4330
Phone (870) 654-3869

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
203542ARMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Services of Northwest Arkansas, LLC PastSince May 1, 2022 Accepting new patients

Organizations & group practices 1

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": "1757030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1538049002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 GOBLIN DR",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726018885",
            "telephone_number": "870-654-3869",
            "fax_number": "870-505-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 GOBLIN DR",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726018885",
            "telephone_number": "870-654-3869",
            "fax_number": "870-505-2016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Rice St",
            "address_purpose": "LOCATION",
            "city": "Berryville",
            "state": "AR",
            "postal_code": "726164388",
            "country_code": "US",
            "telephone_number": "870-654-3869",
            "fax_number": "870-505-2016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1004 S Main St",
            "address_purpose": "LOCATION",
            "city": "Berryville",
            "state": "AR",
            "postal_code": "726164330",
            "country_code": "US",
            "telephone_number": "870-654-3869",
            "fax_number": "870-505-2016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "MATTIE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-05",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "203728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.