Organization Active NPI

Small Talk Pediatric Therapy, LLC

  • Speech-Language Pathologist
  • Lake City, AR
National Provider Identifier
1689395154
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
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

Updated by the provider on Sep 2, 2022

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-SLPNPI 1497053441
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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1497053441MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address summer@smalltalknea.com Direct

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.