Active NPI
Grace Kennedy, SLP
- Speech-Language Assistant
- Berryville, AR
National Provider Identifier
1699251231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- Practice address
- 806 W College Ave
Berryville, AR 72616-3107 - Phone
- (870) 480-3461
- NPI assigned
- Jul 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 201637 | AR | |
| Speech-Language Assistant | 2355S0801X | AR | Primary |
Addresses
Primary practice location
806 W College Ave
Berryville, AR 72616-3107
Mailing address
330 Camie Dr
Walnut Ridge, AR 72476-2101
Phone (870) 637-3996
Other practice location 1
146 Linwood Dr
Paragould, AR 72450-4077
Phone (870) 520-8761
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
| License | State | Type | Specialty |
|---|---|---|---|
| 201637 | AR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hands on Learning, LLC. | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Paragould, AR
- NPI 1356742852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1699251231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 CAMIE DR",
"city": "WALNUT RIDGE",
"state": "AR",
"postal_code": "724762101",
"telephone_number": "870-637-3996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806 W COLLEGE AVE",
"city": "BERRYVILLE",
"state": "AR",
"postal_code": "726163107",
"telephone_number": "870-480-3461"
}
],
"practiceLocations": [
{
"address_1": "146 Linwood Dr",
"address_purpose": "LOCATION",
"city": "Paragould",
"state": "AR",
"postal_code": "724504077",
"country_code": "US",
"telephone_number": "870-520-8761",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENNEDY",
"first_name": "GRACE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-17",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "201637",
"primary": false
},
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berryville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.