Active NPI
Brooke Vaughan
- Speech-Language Pathologist
- Magnolia, AR
National Provider Identifier
1669503074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2138
- Practice address
- 2227 Columbia Road 529
Magnolia, AR 71753-8738 - Phone
- (870) 904-9408
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 2138 | AR | Primary |
Addresses
Primary practice location
2227 Columbia Road 529
Magnolia, AR 71753-8738
Mailing address
16 Summerwood Dr
Magnolia, AR 71753-8442
Phone (870) 904-9408
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 |
|---|---|---|---|
| 2138 | AR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochs Speech Pathology Services | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Magnolia, AR
- NPI 1184755423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204243200000",
"number": "1669503074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 SUMMERWOOD DR",
"city": "MAGNOLIA",
"state": "AR",
"postal_code": "717538442",
"telephone_number": "870-904-9408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2227 COLUMBIA ROAD 529",
"city": "MAGNOLIA",
"state": "AR",
"postal_code": "717538738",
"telephone_number": "870-904-9408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHAN",
"first_name": "BROOKE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2008-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "2138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Magnolia, AR
- University of Arkansas for Medical Sciences
- University of Arkansas for Medical Sciences
- University of Arkansas for Medical Sciences
- University of Arkansas for Medical Sciences
- Urgent Care Associates LLC
- Bonnie M. Vest, MA CCC-SLP
- Rebekah Wagner
- Wal-Mart Stores, Inc.
- Walgreen Co
- Curtis Hugh Walker, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.