Speech Works, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP#3079 Issued in AR

Legal business name

SPEECH WORKS, LLC

Practice address

111 Merriman Ave E
Wynne, AR 72396-2941

Phone

(870) 270-7963

Fax

(870) 697-2296

NPI assigned

Jan 13, 2012

Organization subpart

No

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

Authorized official

Name

Jamie L FrederickNPI 1275823494

Title

SLP

Phone

(870) 270-7963

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamie L Frederick, MCD, CCC-SLP

  • Speech-Language Pathologist
  • Wynne, AR
  • NPI 1275823494
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1598036030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 COUNTY ROAD 7290",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723968121",
            "telephone_number": "870-270-7963",
            "fax_number": "870-374-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MERRIMAN AVE E",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723962941",
            "telephone_number": "870-270-7963",
            "fax_number": "870-697-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH WORKS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SLP",
        "authorized_official_telephone_number": "870-270-7963"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#3079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185789721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Wynne, AR
• Providers in Wynne, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.