Individual provider Active NPI

Marian Knaust, M.S.-CCC-SLP

  • Speech-Language Pathologist
  • Springdale, AR
National Provider Identifier
1548259682
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP#819 Issued in AR
Practice address
4310 Warwick CV
Springdale, AR 72762-8297
Phone
(479) 872-1351
NPI assigned
Oct 20, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SP#819 AR Primary

Addresses

Primary practice location

4310 Warwick CV
Springdale, AR 72762-8297

Mailing address

4310 Warwick CV
Springdale, AR 72762-8297
Phone (479) 872-1351

Other identifiers 1

IdentifierTypeStateIssuer
5T559OtherARBLUE CROSS BLUE SHIELD

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
SP#819ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Marian Hale Knaust, Ms-CCC-SLP Speech-Language Pathologist Past 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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548259682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 WARWICK CV",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727628297",
            "telephone_number": "479-872-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 WARWICK CV",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727628297",
            "telephone_number": "479-872-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAUST",
        "first_name": "MARIAN",
        "name_prefix": "Mrs.",
        "credential": "M.S.-CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5T559",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.