Rhonda Blackwell, MS
Individual provider Active NPI Specialist · Little Rock, AR
NPI 1568614535 · NPPES record last updated Mar 19, 2012
Key facts
- NPI
- 1568614535
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 01-1E (AR)
- Practice address
- 800 Marshall St
Slot 900
Little Rock, AR 72202-3510 - Phone
- (501) 364-1100
- NPI assigned
- Oct 21, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-1E | AR | MD | Specialist |
| 0101E | AR | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 0101E | AR | |
| Specialist | 174400000X | 01-1E | AR | Yes |
Addresses
Primary practice location
800 Marshall St
Slot 900
Little Rock, AR 72202-3510
Mailing address
800 Marshall St
Slot 900
Little Rock, AR 72202-3510
Phone (501) 364-1100
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.