Active NPI
Small Talk Pediatric Therapy, LLC
- Speech-Language Pathologist
- Lake City, AR
National Provider Identifier
1689395154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- SMALL TALK PEDIATRIC THERAPY, LLC
- Practice address
- 1205 Milo St
Lake City, AR 72437-9701 - Phone
- (870) 897-6464
- Fax
- (870) 237-8004
- NPI assigned
- Sep 2, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Summer Brooke Morrison, MCD, CCC-SLP
- Title
- Owner/Speech-Language Pathologist
- Phone
- (870) 897-6464
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
1205 Milo St
Lake City, AR 72437-9701
Mailing address
PO Box 568
Lake City, AR 72437-0568
Phone (870) 897-6464
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497053441 | Medicaid | AR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | summer@smalltalknea.com | Direct |
National Provider Directory
National Provider DirectoryLocations
1205 Milo St
Lake City, AR 72437
Phone (870) 897-6464
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Jonesboro, AR
- NPI 1497053441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662076800000",
"number": "1689395154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 568",
"city": "LAKE CITY",
"state": "AR",
"postal_code": "724370568",
"telephone_number": "870-897-6464",
"fax_number": "870-237-8004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 MILO ST",
"city": "LAKE CITY",
"state": "AR",
"postal_code": "724379701",
"telephone_number": "870-897-6464",
"fax_number": "870-237-8004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMALL TALK PEDIATRIC THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-02",
"last_updated": "2022-09-02",
"certification_date": "2022-09-02",
"status": "A",
"authorized_official_last_name": "MORRISON",
"authorized_official_first_name": "SUMMER",
"authorized_official_middle_name": "BROOKE",
"authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "870-897-6464",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MCD, CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1497053441",
"state": "AR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "summer@smalltalknea.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1205 Milo St",
"city": "Lake City",
"state": "AR",
"country_code": "US",
"postal_code": "724379701",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lake City, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.