Individual provider Active NPI

Teresa Elizabeth Haff, MCD CCC-SLP

  • Speech-Language Pathologist
  • Trumann, AR
National Provider Identifier
1689627952
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP#1575 Issued in AR
Practice address
339 Highway 463 N
Trumann, AR 72472-3505
Phone
(870) 418-0794
Fax
(870) 418-0791
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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#1575 AR Primary

Addresses

Primary practice location

339 Highway 463 N
Trumann, AR 72472-3505

Mailing address

289 County Road 746
Jonesboro, AR 72405-0247
Phone (870) 897-7867

Other identifiers 2

IdentifierTypeStateIssuer
137022721MedicaidAR
5W219OtherARBLUE CROSS BLUE SHIELD #

Other names 1

  • Miss Teresa Elizabeth King Former name

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

LicenseStateTypeSpecialty
SP#1575ARMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1689627952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 COUNTY ROAD 746",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724050247",
            "telephone_number": "870-897-7867",
            "fax_number": "870-418-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 HIGHWAY 463 N",
            "city": "TRUMANN",
            "state": "AR",
            "postal_code": "724723505",
            "telephone_number": "870-418-0794",
            "fax_number": "870-418-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFF",
        "first_name": "TERESA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MCD CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#1575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137022721",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD #",
            "identifier": "5W219",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "KING",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Trumann, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.