Audrey I Mayfield, MS, CCC-SLP

Key facts

NPI

1710133434

Entity type

Individual (NPI type 1)

Primary specialty

Speech-Language Pathologist 235Z00000X

Practice address

101 Bulldog Dr
Plumerville, AR 72127-8803

Phone

(501) 354-2269

NPI assigned

Aug 13, 2008

Sex

Female

Sole proprietor

Yes

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.

• Arch Ford Education Cooperative Local Education Agency (LEA) · Plumerville, AR · NPI 1932262003
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Master of Science

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 13, 2008.

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1710133434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BULLDOG DR",
            "city": "PLUMERVILLE",
            "state": "AR",
            "postal_code": "721278803",
            "telephone_number": "501-354-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BULLDOG DR",
            "city": "PLUMERVILLE",
            "state": "AR",
            "postal_code": "721278803",
            "telephone_number": "501-354-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYFIELD",
        "first_name": "AUDREY",
        "middle_name": "I",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plumerville, AR

• Travis Andrew Gray, B.S.
• Cynthia A. Harmon, M.A. CCC-SLP
• Jaymie L Huett, M.S.,CCC-SLP
• Hadley Jones, COTA/L
• Vanessa Caroline Koonce/Powell, MSE CCC-SLP
• Regina Moore, CNP
• Audrey Mortenson
• Amanda Muse
• N'Speech
• Rhonda R Nosal, M.S., CCC-SLP

All providers in Plumerville, AR · Speech-Language Pathologist in Arkansas