Individual provider Active NPI

Bailey Boatright, MS, CCC-SLP

  • Speech-Language Pathologist
  • Gravette, AR
National Provider Identifier
1730795451
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
201079 Issued in AR
Practice address
500 8TH Ave SE
Gravette, AR 72736-8742
Phone
(479) 787-4140
NPI assigned
Sep 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 201079 AR Primary

Addresses

Primary practice location

500 8TH Ave SE
Gravette, AR 72736-8742

Mailing address

3302 N Dixieland Rd Apt L8
Rogers, AR 72756-6856
Phone (870) 350-2750

Other names 1

  • Bailey Pearson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL bailey.boatright@gravetteschools.net Direct Gravette School District

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

LicenseStateTypeSpecialty
201079ARMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1730795451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 N DIXIELAND RD APT L8",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727566856",
            "telephone_number": "870-350-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 8TH AVE SE",
            "city": "GRAVETTE",
            "state": "AR",
            "postal_code": "727368742",
            "telephone_number": "479-787-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOATRIGHT",
        "first_name": "BAILEY",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "201079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "bailey.boatright@gravetteschools.net",
            "affiliation": "Y",
            "endpointDescription": "work email address",
            "affiliationName": "Gravette School District",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "609 Birmingham St SE",
            "city": "Gravette",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727368701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BAILEY",
            "last_name": "PEARSON",
            "credential": "MS, CF-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gravette, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.