Individual provider Active NPI

Mary Winkelman, CFY-SLP

  • Speech-Language Pathologist
  • Siloam Springs, AR
National Provider Identifier
1699340497
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
201401 Issued in AR
Practice address
2317 N Mount Olive St
Siloam Springs, AR 72761-7070
Phone
(479) 790-0249
NPI assigned
May 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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 201401 AR Primary

Addresses

Primary practice location

2317 N Mount Olive St
Siloam Springs, AR 72761-7070

Mailing address

2317 N Mount Olive St
Siloam Springs, AR 72761-7070
Phone (479) 790-0249

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
201401ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alyp Therapy CurrentSince Jun 22, 2021 Accepting new patients

Locations

2317 N Mount Olive St
Siloam Springs, AR 72761
Phone (479) 755-4047

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.

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1699340497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 N MOUNT OLIVE ST",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727617070",
            "telephone_number": "479-790-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 N MOUNT OLIVE ST",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727617070",
            "telephone_number": "479-790-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINKELMAN",
        "first_name": "MARY",
        "credential": "CFY-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "201401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Siloam Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.