Hargis Pediatric Therapy, L.L.C

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

3333 Issued in AR

Legal business name

HARGIS PEDIATRIC THERAPY, L.L.C

Practice address

815 N Gaskill St
Huntsville, AR 72740-8968

Phone

(903) 277-8039

Fax

(479) 738-2070

NPI assigned

Jun 26, 2017

Organization subpart

No

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

Authorized official

Name

Jordan R Hargis, SLPNPI 1043654767

Title

Owner/SLP

Phone

(903) 277-8039

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jordan R Hargis, SLP

  • Speech-Language Pathologist
  • Huntsville, AR
  • NPI 1043654767
  NPD Authorized official

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498435200000",
    "number": "1699295055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 MADISON 8593",
            "city": "HUNTSVILLE",
            "state": "AR",
            "postal_code": "727409326",
            "telephone_number": "903-277-8039",
            "fax_number": "479-738-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 N GASKILL ST",
            "city": "HUNTSVILLE",
            "state": "AR",
            "postal_code": "727408968",
            "telephone_number": "903-277-8039",
            "fax_number": "479-738-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARGIS PEDIATRIC THERAPY, L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-26",
        "last_updated": "2017-06-26",
        "status": "A",
        "authorized_official_last_name": "HARGIS",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "903-277-8039",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "AR",
            "license": "3333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199958721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda D Edens
• Thomas Louie Embry, MD
• Travis Dale Embry, MD
• William Tyler Foell
• Asish Kumar Ghosh, M.D.
• Jordan R Hargis, SLP
• Harps Food Stores, Inc
• Brianna Michelle Harris, LPC
• Amy R Hasty
• Michelle Pauline Huhn

• Hearing and Speech Clinic/Center in Huntsville, AR
• Providers in Huntsville, AR by specialty
• Hearing and Speech Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2017; 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.