Individual provider Active NPI

Allison R Corter, SLP

  • Speech-Language Pathologist
  • Fayetteville, AR
National Provider Identifier
1538420286
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
3162 W Martin Luther King Jr Blvd Ste 4
Fayetteville, AR 72704-7679
Phone
(479) 435-6636
Fax
(479) 435-6654
NPI assigned
May 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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 Primary

Addresses

Primary practice location

3162 W Martin Luther King Jr Blvd Ste 4
Fayetteville, AR 72704-7679

Mailing address

4391 W Trillium LN
Fayetteville, AR 72704-6605
Phone (479) 957-7409

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kindred Pediatric Therapy, PLC CurrentSince Nov 27, 2022 Accepting new patients
Post 0218, PLC PastSince Jul 28, 2024 Accepting new patients

Locations

3162 W Martin Luther King Jr Blvd
Ste 4
Fayetteville, AR 72704
Phone (479) 435-6636

3162 W Martin Luther King Jr Blvd
Ste 2
Fayetteville, AR 72704
Phone (479) 435-6636

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": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1538420286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4391 W TRILLIUM LN",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727046605",
            "telephone_number": "479-957-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3162 W MARTIN LUTHER KING JR BLVD STE 4",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727047679",
            "telephone_number": "479-435-6636",
            "fax_number": "479-435-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTER",
        "first_name": "ALLISON",
        "middle_name": "R",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.