Active NPI
Carrie Baker Sallee, M.S,, CCC-SLP
- Speech-Language Pathologist
- Fort Smith, AR
National Provider Identifier
1700973302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 337
- Practice address
- 2713 S 74TH St Ste 302
Fort Smith, AR 72903-5155 - Phone
- (479) 478-8555
- NPI assigned
- Oct 6, 2006
- 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 | 337 | AR | Primary |
Addresses
Primary practice location
2713 S 74TH St Ste 302
Fort Smith, AR 72903-5155
Mailing address
16419 Pine Grove LN
Fort Smith, AR 72916-9245
Phone (479) 996-3192
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5S602 | Other | AR | BLUE CROSS BLUE SHIELD |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 337 | AR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700973302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16419 PINE GROVE LN",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729169245",
"telephone_number": "479-996-3192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2713 S 74TH ST STE 302",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729035155",
"telephone_number": "479-478-8555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALLEE",
"first_name": "CARRIE",
"middle_name": "BAKER",
"name_prefix": "Mrs.",
"credential": "M.S,, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "337",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "5S602",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.