NPIMap

Organization Active NPI

Appleflats Speech Pathology Clinic

  • Speech-Language Pathologist
  • Stephens, AR
National Provider Identifier
1538677307
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1725 Issued in AR
Legal business name
APPLEFLATS SPEECH PATHOLOGY CLINIC
Practice address
11630 Highway 98
Stephens, AR 71764-8020
Phone
(870) 510-2841
Fax
(870) 596-2000
NPI assigned
Jan 16, 2018
Last updated
May 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Bonnie M. Vest, MA CCC SLP CBISNPI 1467586164
Title
Speech Language Pathologist - Owner
Phone
(870) 510-2841

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1725 AR Primary

Addresses

Primary practice location

11630 Highway 98
Stephens, AR 71764-8020

Mailing address

2206 N Jackson
Magnolia, AR 71753-2065
Phone (870) 510-2841

Other practice location 1

2206 N Jackson
Magnolia, AR 71753-2065
Phone (870) 510-2841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210517000017 AR Part B Supplier - Clinic/Group Practice 1951710342 Receives reassigned benefits from 1 practitioner
Practice locations: Magnolia, AR

National Provider Directory

National Provider Directory
Tax ID family
Apple Flats Speech Pathology Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1538677307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 N JACKSON",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717532065",
            "telephone_number": "870-510-2841",
            "fax_number": "844-315-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11630 HIGHWAY 98",
            "city": "STEPHENS",
            "state": "AR",
            "postal_code": "717648020",
            "telephone_number": "870-510-2841",
            "fax_number": "870-596-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2206 N Jackson",
            "address_purpose": "LOCATION",
            "city": "Magnolia",
            "state": "AR",
            "postal_code": "717532065",
            "country_code": "US",
            "telephone_number": "870-510-2841",
            "fax_number": "844-315-7385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "APPLEFLATS SPEECH PATHOLOGY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-16",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "VEST",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST - OWNER",
        "authorized_official_telephone_number": "870-510-2841",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA CCC SLP  CBIS"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "1725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stephens, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.