Individual provider Active NPI

Kathleen Frizzell, MA, CCC-SLP

  • Speech-Language Pathologist
  • Maumelle, AR
National Provider Identifier
1689125676
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP#2893 Issued in AR
Practice address
173 Hibiscus Dr
Maumelle, AR 72113-5820
Phone
(501) 609-5433
NPI assigned
Oct 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP#2893 AR Primary

Addresses

Primary practice location

173 Hibiscus Dr
Maumelle, AR 72113-5820

Mailing address

173 Hibiscus Dr
Maumelle, AR 72113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181117000048 AR Practitioner - Qualified Speech Language Pathologist 6507110178 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy InstituteGroup PAC ID 7214117001, 31 clinicians

Practice addresses (Care Compare)

1909 Hinson Loop Rd
Suite 100
Little Rock, AR 72212-3903
Phone (501) 301-4530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP#2893ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Arkansas Rehabilitation Experts Speech-Language Pathologist CurrentSince Aug 1, 2022 Accepting new patients
Physical Therapy Institute CurrentSince Aug 20, 2018 Accepting new patients

Locations

1909 Hinson Loop Rd
Ste 100
Little Rock, AR 72212
Phone (501) 563-9412

5307 Kavanaugh Blvd
Little Rock, AR 72207
Phone (501) 666-2801

1 Chenal Heights Dr
Little Rock, AR 72223
Phone (201) 301-4530

6020 Warden Rd
Ste 230
Sherwood, AR 72120
Phone (501) 392-9180

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1689125676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 HIBISCUS DR",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "72113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 HIBISCUS DR",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721135820",
            "telephone_number": "501-609-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIZZELL",
        "first_name": "KATHLEEN",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#2893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumelle, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.