Individual provider Active NPI

Jennifer R. Simpson, CCC-SLP

  • Speech-Language Pathologist
  • Conway, AR
National Provider Identifier
1548430937
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP#P7993 Issued in AR
Practice address
1902 Hairston St
Conway, AR 72034-3227
Phone
(501) 450-6634
NPI assigned
Mar 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2014

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#P7993 AR Primary

Addresses

Primary practice location

1902 Hairston St
Conway, AR 72034-3227

Mailing address

4510 Oregon TRL
Conway, AR 72034-3334
Phone (501) 733-5262

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP#P7993ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Central Arkansas Speech-Language Pathologist CurrentSince Jan 1, 2022 Accepting new patients
University of Central Arkansas Current Accepting new patients
Conway Public Schools #01 Speech-Language Pathologist Past Accepting new patients
University of Central Arkansas Speech-Language Pathologist PastSince Feb 13, 2022 Accepting new patients

Locations

201 Donaghey Ave
Conway, AR 72035
Phone (501) 450-3136

Organizations & group practices 4

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": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1548430937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 OREGON TRL",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343334",
            "telephone_number": "501-733-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 HAIRSTON ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343227",
            "telephone_number": "501-450-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "JENNIFER",
        "middle_name": "R.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-03",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#P7993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.