Jennifer M Craig, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP#2189 Issued in AR

Practice address

17 Woodbridge Dr
Conway, AR 72034-3613

Phone

(501) 416-5253

NPI assigned

Jan 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1629120332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WOODBRIDGE DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343613",
            "telephone_number": "501-416-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WOODBRIDGE DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343613",
            "telephone_number": "501-416-5253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17706 I 30 Suite 3",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "AR",
            "postal_code": "720192930",
            "country_code": "US",
            "telephone_number": "501-315-4414",
            "fax_number": "501-315-3467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#2189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154387721",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5X966",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leigh E Cox, O.D.
• T'Nyia Renee Cox
• Leah Crafton, BT
• Leo Crafton, D.D.S.
• Jeffrey Alan Craig, M.D.
• Sherrye Denise Craig, M.D.
• Dana Cox Craiglow, DC
• Seth Cramer, RECOVERY ASSISTANT
• Ashley Nicole Crank, SLP
• Allen Geormario Crawford, MS, ATC

• Speech-Language Pathologist in Conway, AR
• Providers in Conway, 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 Jul 8, 2020; 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.