Mia Kaye Brown, M.S., CCC-SLP

Key facts

NPI

1659155752

Entity type

Individual (NPI type 1)

Primary specialty

Speech-Language Pathologist 235Z00000X

License

202875 (AR)

Practice address

804 W Johnson Ave
Springdale, AR 72764-4159

Phone

(573) 729-4812

NPI assigned

Aug 21, 2023

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

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 22, 2025.

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1659155752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 W JOHNSON AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727644159",
            "telephone_number": "479-750-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 W JOHNSON AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727644159",
            "telephone_number": "573-729-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MIA",
        "middle_name": "KAYE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2023032656",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "202875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

• Jessica Annelise Brown, PA-C
• Jodie Brown, RN
• Kevin Lee Brown
• Keyvashia K Brown
• Lisa Marie Brown
• Nicholas S Brown
• Thalyanna Brown
• Krista Bruder
• Tedda Bruder
• Abbey Brumley, D.D.S.

All providers in Springdale, AR · Speech-Language Pathologist in Arkansas