Individual provider Active NPI

Leslie Lancaster-Smith, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Springdale, AR
National Provider Identifier
1578833273
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2244 Issued in AR
Practice address
4476 Cherrywood Ave
Springdale, AR 72762-0644
Phone
(479) 200-5384
NPI assigned
Jan 11, 2012
Reactivated
Apr 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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 2244 AR Primary

Addresses

Primary practice location

4476 Cherrywood Ave
Springdale, AR 72762-0644

Mailing address

4476 Cherrywood Ave
Springdale, AR 72762-0644
Phone (479) 200-5384

Other practice location 1

1125 N College Ave
Fayetteville, AR 72703-1908
Phone (479) 713-8630

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220428002576 AR Practitioner - Qualified Speech Language Pathologist 4880081454 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2244ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathfinder, Inc. CurrentSince Sep 27, 2022 Accepting new patients
Pathfinder, Inc. Past Accepting new patients

Locations

2616 S Walton Blvd
Bentonville, AR 72712

905 N Redmond Rd
Jacksonville, AR 72076
Phone (501) 533-6302

1200 W Walnut St
Ste 1100
Rogers, AR 72756
Phone (479) 254-6717

Organizations & group practices 2

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": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1578833273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4476 CHERRYWOOD AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620644",
            "telephone_number": "479-200-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4476 CHERRYWOOD AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620644",
            "telephone_number": "479-200-5384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 N College Ave",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727031908",
            "country_code": "US",
            "telephone_number": "479-713-8630",
            "fax_number": "479-713-8639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANCASTER-SMITH",
        "first_name": "LESLIE",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-11",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "deactivation_date": "2012-06-01",
        "reactivation_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "2244",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 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.