Sara Ann Bennett, MCD, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP2633 Issued in AR

Practice address

2244 Lee St
Batesville, AR 72501-7767

Phone

(870) 307-3916

Fax

(870) 994-3108

NPI assigned

Apr 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517788800000",
    "number": "1659594364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 OAK MEADOW CV",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725014208",
            "telephone_number": "870-307-3916",
            "fax_number": "870-994-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 LEE ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017767",
            "telephone_number": "870-307-3916",
            "fax_number": "870-994-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "SARA",
        "middle_name": "ANN",
        "credential": "MCD, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2018-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP2633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162971721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beller Dental Clinic PLLC
• Christopher Jay Beller, DDS
• Karen R Beller, MS, LPE
• William Beller, D.D.S.
• Corey Page Bennett, RN
• Janice Ann Benton, ANP
• Sarah Berry
• Maggie E Beshears
• Lloyd George Bess, M.D.
• Todd Besselievre, M.D.

• Speech-Language Pathologist in Batesville, AR
• Providers in Batesville, 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 Feb 5, 2018; 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.