Active NPI
Michele Leigh Carpenter, SPEECH THERAPIST
- Speech-Language Pathologist
- Springdale, AR
National Provider Identifier
1659436483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP968
- Practice address
- 804 W Johnson Ave
Springdale, AR 72764-4159 - Phone
- (479) 750-8800
- NPI assigned
- Dec 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP968 | AR | Primary |
Addresses
Primary practice location
804 W Johnson Ave
Springdale, AR 72764-4159
Mailing address
1188 Camerino Ave
Tontitown, AR 72762-3211
Phone (501) 944-9480
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131021721 | Medicaid | AR | |
| 5S860 | Other | AR | BLUE CROSS BLUE SHIELD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| SP968 | AR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771372800000",
"number": "1659436483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1188 CAMERINO AVE",
"city": "TONTITOWN",
"state": "AR",
"postal_code": "727623211",
"telephone_number": "501-944-9480"
},
{
"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": "479-750-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "MICHELE",
"middle_name": "LEIGH",
"credential": "SPEECH THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "SP968",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "131021721",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "5S860",
"state": "AR"
}
],
"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 Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.