Organization Active NPI

Apple Flats Speech Pathology Clinic

  • Speech-Language Assistant
  • Magnolia, AR
National Provider Identifier
1548025711
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
Legal business name
APPLE FLATS SPEECH PATHOLOGY CLINIC
Practice address
2206 N Jackson
Magnolia, AR 71753-2065
Phone
(870) 510-2841
NPI assigned
Feb 16, 2024
Last updated
Feb 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Authorized official

Name
Bonnie VestNPI 1467586164
Title
SLP
Phone
(870) 510-2841

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X NU Primary

Addresses

Primary practice location

2206 N Jackson
Magnolia, AR 71753-2065

Mailing address

502 E 12TH St
Smackover, AR 71762-2123
Phone (870) 665-9526

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1708041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1548025711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 E 12TH ST",
            "city": "SMACKOVER",
            "state": "AR",
            "postal_code": "717622123",
            "telephone_number": "870-665-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 N JACKSON",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717532065",
            "telephone_number": "870-510-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLE FLATS SPEECH PATHOLOGY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "VEST",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "SLP",
        "authorized_official_telephone_number": "870-510-2841"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.