Active NPI
Misty Michelle Lacewell, M.S. CCC-SLP
- Speech-Language Pathologist
- Little Rock, AR
National Provider Identifier
1720101678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1730
- Practice address
- 6124 Northmoor Dr
Little Rock, AR 72204-2504 - Phone
- (501) 614-7200
- NPI assigned
- Apr 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 1730 | AR | Primary |
Addresses
Primary practice location
6124 Northmoor Dr
Little Rock, AR 72204-2504
Mailing address
2401 Blackwood Rd
Little Rock, AR 72207
Phone (501) 681-8148
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137364721 | Medicaid | AR |
Other names 1
- Mrs. Misty Lacewell Conners
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 |
|---|---|---|---|
| 1730 | AR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrity, Inc | Past | Accepting new patients |
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.
-
- Developmentally Disabled Services Day Training Agency
- Little Rock, AR
- NPI 1558492355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713830400000",
"number": "1720101678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 BLACKWOOD RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "72207",
"telephone_number": "501-681-8148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6124 NORTHMOOR DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722042504",
"telephone_number": "501-614-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACEWELL",
"first_name": "MISTY",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-07",
"last_updated": "2024-04-23",
"certification_date": "2024-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "1730",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137364721",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MISTY",
"last_name": "CONNERS",
"middle_name": "LACEWELL",
"prefix": "MRS.",
"credential": "M.S. CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.