Active NPI
Misty C Ray, BS
- Speech-Language Pathologist
- Benton, AR
National Provider Identifier
1720196595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP2352
- Practice address
- 121 Cox St
Benton, AR 72015-4611 - Phone
- (501) 776-0691
- Fax
- (501) 776-0692
- NPI assigned
- Aug 29, 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 | SP2352 | AR | Primary |
Addresses
Primary practice location
121 Cox St
Benton, AR 72015-4611
Mailing address
15103 Alexander Rd
Alexander, AR 72002-1512
Phone (501) 259-6999
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)
- Enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP2352 | AR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252972800000",
"number": "1720196595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15103 ALEXANDER RD",
"city": "ALEXANDER",
"state": "AR",
"postal_code": "720021512",
"telephone_number": "501-259-6999",
"fax_number": "501-407-8053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 COX ST",
"city": "BENTON",
"state": "AR",
"postal_code": "720154611",
"telephone_number": "501-776-0691",
"fax_number": "501-776-0692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "MISTY",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2009-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "SP2352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Benton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.