Susannah B Smith, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

202645 Issued in AR

Practice address

1100 Longhorn Dr
Weatherford, TX 76086-5095

Phone

(817) 598-2800

NPI assigned

Sep 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1669668802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 WEST SUSSEX LN",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "72758",
            "telephone_number": "501-305-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LONGHORN DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865095",
            "telephone_number": "817-598-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 N Main St",
            "address_purpose": "LOCATION",
            "city": "Beebe",
            "state": "AR",
            "postal_code": "720123048",
            "country_code": "US",
            "telephone_number": "501-882-5467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SUSANNAH",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-21",
        "last_updated": "2024-09-03",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "2504",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "202645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Smith
• John Doyle Smith, RPH
• Kati Smith, LPC
• Kayla Smith
• Lauren Nichole Smith, APRN, FNP-C
• Susie Smith
• Zachary A Smith, D. D. D.
• Deysi Solares, NP
• Song in Your Heart Therapy Center
• Daniel Sorokolit, DMD

• Speech-Language Pathologist in Weatherford, TX
• Providers in Weatherford, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.