Individual provider Active NPI

Alyssa C Parker, SLP

  • Speech-Language Pathologist
  • Springdale, AR
National Provider Identifier
1639503501
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3529 Issued in AR
Practice address
3291 S Thompson St Ste F101
Springdale, AR 72764-7342
Phone
(479) 750-3535
NPI assigned
Aug 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 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 3529 AR Primary

Addresses

Primary practice location

3291 S Thompson St Ste F101
Springdale, AR 72764-7342

Mailing address

219 Sussex Ave
Lowell, AR 72745-8895
Phone (870) 577-4524

Other practice location 1

2001 S Hampton Pl
Rogers, AR 72758-1352
Phone (479) 986-9945

Other practice location 2

606 N. Razorback Road
Fayetteville, AR 72701
Phone (479) 575-4509

Other practice location 3

2758 Millennium Drive
Fayetteville, AR 72703
Phone (479) 935-4441

Other practice location 4

219 Sussex Ave
Lowell, AR 72745-8895
Phone (870) 577-4524

Other names 1

  • Alyssa C Johnson Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3529ARMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ap Therapy LLC Speech-Language Pathologist CurrentSince Jul 1, 2022 Accepting new patients
Physician'S Therapy Group, LLC Speech-Language Pathologist CurrentSince Jul 31, 2022 Accepting new patients
University of Arkansas Speech-Language Pathologist Past Accepting new patients
University of Arkansas Past Accepting new patients

Locations

3291 S Thompson St
Ste F101
Springdale, AR 72764
Phone (479) 750-3535

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": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1639503501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 SUSSEX AVE",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727458895",
            "telephone_number": "870-577-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3291 S THOMPSON ST STE F101",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727647342",
            "telephone_number": "479-750-3535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 S Hampton Pl",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727581352",
            "country_code": "US",
            "telephone_number": "479-986-9945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "606 N. Razorback Road",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "72701",
            "country_code": "US",
            "telephone_number": "479-575-4509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2758 Millennium Drive",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "72703",
            "country_code": "US",
            "telephone_number": "479-935-4441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "219 Sussex Ave",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "AR",
            "postal_code": "727458895",
            "country_code": "US",
            "telephone_number": "870-577-4524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "ALYSSA",
        "middle_name": "C",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-28",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "3529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "JOHNSON",
            "middle_name": "C",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 25, 2022; 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.