Alicia Pattillo, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP#P8295 Issued in AR

Practice address

1600 Riverfront Dr
Little Rock, AR 72202

Phone

(501) 663-6965

NPI assigned

Jun 9, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• MCT, Inc.

  • Speech-Language Pathologist
  • Little Rock, AR
  • NPI 1881738409
  Medicare reassignment NPD
• MCT, Inc.

  • Developmental Disabilities Clinic/Center
  • Little Rock, AR
  • NPI 1881005387
  NPD

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276041600000",
    "number": "1750601076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 RIVERFRONT DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 RIVERFRONT DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72202",
            "telephone_number": "501-663-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTILLO",
        "first_name": "ALICIA",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-09",
        "last_updated": "2010-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#P8295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Annette Patterson
• Rebecca Jean Patterson, RN, PHD, CNP
• Stacey Elizabeth Patterson, PT
• Sunny Tenille Patterson, RN, RNFA, CNOR
• Victor Patterson
• Sebrina Patton, MHPP
• Victoria Susan Patton
• Justin Patty
• Pradip Kumar Paudel, MD
• Paul Burton, DDS, PA

• Speech-Language Pathologist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.