Active NPI
Mona Pardue, MSCCCSLP
- Speech-Language Pathologist
- Roland, AR
National Provider Identifier
1659536787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP#875
- Practice address
- 26522 Jess Morgan Rd
Roland, AR 72135-9005 - Phone
- (501) 580-1138
- NPI assigned
- Jul 29, 2008
- 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 | SP#875 | AR | Primary |
Addresses
Primary practice location
26522 Jess Morgan Rd
Roland, AR 72135-9005
Mailing address
26522 Jess Morgan Rd
Roland, AR 72135-9005
Phone (501) 580-1138
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 |
|---|---|---|---|
| SP#875 | AR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217289600000",
"number": "1659536787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26522 JESS MORGAN RD",
"city": "ROLAND",
"state": "AR",
"postal_code": "721359005",
"telephone_number": "501-580-1138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26522 JESS MORGAN RD",
"city": "ROLAND",
"state": "AR",
"postal_code": "721359005",
"telephone_number": "501-580-1138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARDUE",
"first_name": "MONA",
"name_prefix": "Ms.",
"credential": "MSCCCSLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-29",
"last_updated": "2008-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "SP#875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roland, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.