Active NPI
Kallison Lee Glass, SLP
- Speech-Language Pathologist
- Morrilton, AR
National Provider Identifier
1699349845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 102 E Harding St
Morrilton, AR 72110-2047 - Phone
- (501) 697-9881
- NPI assigned
- May 13, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | AR | Primary |
Addresses
Primary practice location
102 E Harding St
Morrilton, AR 72110-2047
Mailing address
102 E Harding St
Morrilton, AR 72110-2047
Phone (501) 697-9881
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KNM Therapy LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Kennemetrics LLC | Speech-Language Pathologist | Past | Accepting new patients |
Locations
102 E Harding St
Morrilton, AR 72110
Phone (501) 697-9881
Organizations & group practices 2
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": "1620864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742342400000",
"number": "1699349845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 E HARDING ST",
"city": "MORRILTON",
"state": "AR",
"postal_code": "721102047",
"telephone_number": "501-697-9881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 E HARDING ST",
"city": "MORRILTON",
"state": "AR",
"postal_code": "721102047",
"telephone_number": "501-697-9881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASS",
"first_name": "KALLISON",
"middle_name": "LEE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-13",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morrilton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.