Individual provider Active NPI

Lac'E Marie Zavadil, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Fayetteville, AR
National Provider Identifier
1538474010
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2717 Issued in AR
Practice address
1000 W Bulldog Blvd
Fayetteville, AR 72701-4714
Phone
(479) 444-3000
NPI assigned
Aug 9, 2010
Last updated
Dec 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 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 2717 AR Primary

Addresses

Primary practice location

1000 W Bulldog Blvd
Fayetteville, AR 72701-4714

Mailing address

1000 W Bulldog Blvd
Fayetteville, AR 72701-4714
Phone (479) 444-3000

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
2717ARMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Superintendent of Fayetteville Public Schools PastSince Dec 18, 2022 Accepting new patients
Abc Happy Kids Therapy Services Inc Speech-Language Pathologist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1538474010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W BULLDOG BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727014714",
            "telephone_number": "479-444-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W BULLDOG BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727014714",
            "telephone_number": "479-444-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVADIL",
        "first_name": "LAC'E",
        "middle_name": "MARIE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-09",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "2717",
            "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 Dec 12, 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.